Chad Christopher Drouin, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019.027416 Issued in IL

Practice address

493 Duane St.
Ste. 301
Glen Ellyn, IL 60137

Phone

(630) 858-5755

Fax

(630) 858-5760

NPI assigned

Jul 30, 2008

Last updated

Jul 24, 2013By 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 7, 2012 through May 7, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chad C. Drouin, D.M.D., P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Glen Ellyn, IL
  • NPI 1922347566
  NPD (past) Authorized official

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1780840611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 DUANE ST",
            "address_2": "STE. 301",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-858-5755",
            "fax_number": "630-858-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 DUANE ST.",
            "address_2": "STE. 301",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-858-5755",
            "fax_number": "630-858-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROUIN",
        "first_name": "CHAD",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019.027416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Edward Doerfler, D.D.S.
• Paul David Doodes, D.D.S., PH.D.
• Alice S Douglas, PHARMACIST
• Niki J Douros, D.M.D.
• Noelle Dragon
• Leslie Jean Duff, L.C.S.W
• Dupage Chiropractic Centre, LTD
• Dupage Counseling Associates, Inc
• Dupage Healthcare Associates PC
• Dupage Healthcare LTD

• Oral and Maxillofacial Surgery (Dentist) in Glen Ellyn, IL
• Providers in Glen Ellyn, 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 Jul 24, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.