Victor Escobar, D.D.S., PH.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021-002026 Issued in IL

Practice address

2917 Crossing CT Ste a
Champaign, IL 61822-6185

Phone

(217) 366-1246

Fax

(217) 366-5287

NPI assigned

Aug 1, 2006

Last updated

Jan 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Omfs Practice Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Champaign, IL
  • NPI 1265946081
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1750397501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 CROSSING CT STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226185",
            "telephone_number": "217-366-1246",
            "fax_number": "217-366-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 CROSSING CT STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226185",
            "telephone_number": "217-366-1246",
            "fax_number": "217-366-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021-002026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Epperson
• Equity Clinic S.C.
• Kristen C Erickson, NP
• Peter Erickson, L.C.S.W.
• Erin K. Dunn
• Jacqueline Esslinger
• Jennifer Perrill Esslinger, LCSW
• Amber Estes, LCPC
• Jasmine A Evans, PT, DPT
• Kenneth Marcus Evans, PA

• Oral and Maxillofacial Surgery (Dentist) in Champaign, IL
• Providers in Champaign, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.

Verify at the official NPI Registry.