Individual provider Active NPI

Billy B. Laun II, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Carbondale, IL
National Provider Identifier
1780982587
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019030982 Issued in IL
Practice address
1111 E Walnut St Ste B
Carbondale, IL 62901-5000
Phone
(618) 529-2571
NPI assigned
Mar 3, 2011
Last updated
May 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 019030982 IL Primary

Addresses

Primary practice location

1111 E Walnut St Ste B
Carbondale, IL 62901-5000

Mailing address

1111 E Walnut St Ste B
Carbondale, IL 62901-5000
Phone (618) 529-2571

Medicare participation

Medicare enrollment files
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 Mar 20, 2020 through Mar 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Gustave, D.D.S., PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: blaunii@yourcarecommunity.org

Organizations & group practices 2

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": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1780982587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E WALNUT ST STE B",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015000",
            "telephone_number": "618-529-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E WALNUT ST STE B",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015000",
            "telephone_number": "618-529-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUN",
        "first_name": "BILLY",
        "middle_name": "B.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019030982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.