Organization Active NPI

O'Reilly Family Dental

  • Dentist
  • Hampshire, IL
National Provider Identifier
1821648031
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
O'REILLY FAMILY DENTAL
Practice address
179 E Oak Knoll Dr
Hampshire, IL 60140-9095
Phone
(847) 494-2507
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Dr. Bradley Joseph O'Reilly, DMD
Title
Dentist
Phone
(847) 683-3464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

179 E Oak Knoll Dr
Hampshire, IL 60140-9095

Mailing address

179 E Oak Knoll Dr
Hampshire, IL 60140-9095
Phone (847) 494-2507

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1821648031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 E OAK KNOLL DR",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601409095",
            "telephone_number": "847-494-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 E OAK KNOLL DR",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601409095",
            "telephone_number": "847-494-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'REILLY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-683-3464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.