Active NPI
Robert S Radin, D.D.S.
- Dentist
- North Barrington, IL
National Provider Identifier
1720112329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019016023
- Practice address
- 590 Crooked LN
North Barrington, IL 60010-2015 - Phone
- (847) 381-8888
- NPI assigned
- Mar 15, 2007
- Last updated
- Nov 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019016023 | IL | Primary |
Addresses
Primary practice location
590 Crooked LN
North Barrington, IL 60010-2015
Mailing address
590 Crooked LN
North Barrington, IL 60010-2015
Phone (847) 381-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160405002156 | IL | Order and Referring Only - Dentist | 2365740461 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadows Dental Group | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1720112329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 CROOKED LN",
"city": "NORTH BARRINGTON",
"state": "IL",
"postal_code": "600102015",
"telephone_number": "847-381-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 CROOKED LN",
"city": "NORTH BARRINGTON",
"state": "IL",
"postal_code": "600102015",
"telephone_number": "847-381-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADIN",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019016023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.