Individual provider Active NPI

Christopher Byron Quick, D.D.S.

  • General Practice Dentistry
  • Libertyville, IL
National Provider Identifier
1831268127
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-025234 Issued in IL
Practice address
800 S. Milwaukee Ave
Suite 105
Libertyville, IL 60048-3268
Phone
(847) 362-6660
Fax
(847) 362-6703
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-025234 IL Primary

Addresses

Primary practice location

800 S. Milwaukee Ave
Suite 105
Libertyville, IL 60048-3268

Mailing address

800 S. Milwaukee Ave
Suite 105
Libertyville, IL 60048-3268
Phone (847) 362-6660

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504000296 IL Order and Referring Only - DentistPractitioner - Dentist 5890094403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-025234ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Team Dental General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1831268127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S. MILWAUKEE AVE",
            "address_2": "SUITE 105",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483268",
            "telephone_number": "847-362-6660",
            "fax_number": "847-362-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S. MILWAUKEE AVE",
            "address_2": "SUITE 105",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483268",
            "telephone_number": "847-362-6660",
            "fax_number": "847-362-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "CHRISTOPHER",
        "middle_name": "BYRON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.