Illinois Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ILLINOIS ORAL AND MAXILLOFACIAL SURGERY

Practice address

426 S 3Rd St
Geneva, IL 60134-2854

Phone

(630) 232-9090

Fax

(630) 232-9094

NPI assigned

Oct 24, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Barbick, DMD MDNPI 1174727853

Title

Owner

Phone

(813) 755-9100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Barbick, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1174727853
  NPD Authorized official

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1780456616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15170 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131229",
            "telephone_number": "813-755-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S 3RD ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342854",
            "telephone_number": "630-232-9090",
            "fax_number": "630-232-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "BARBICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-755-9100",
        "authorized_official_credential": "DMD MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Hussain
• Chelsea R Hutchison, APRN,CNP
• Angela Hernandez Ianakiev, LCSW, CADC, PMH-C
• Ias Illinois PC
• Marina Ibrahim, DMD
• Illinois Pain Specialists, LLC (Geneva Pain Specialists)
• Illinois Spine and Joint LLC
• Iman Halloum D.C. S.C. (Geneva Chiropractic)
• Industrial Optical Service, Inc. (Eyeland of St. Johns)
• Inner Growth Therapy Services, LLC

• Oral and Maxillofacial Surgery (Dentist) in Geneva, IL
• Providers in Geneva, 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 Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.