Individual provider Active NPI

Alan Andreas Harvey, D.M.D.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Evanston, IL
National Provider Identifier
1851551642
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
021002718 Issued in IL
Practice address
2500 Ridge Ave Ste 302
Evanston, IL 60201-2477
Phone
(847) 328-8899
Fax
(847) 563-1350
NPI assigned
Jun 15, 2008
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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 Clinic/Center 261QS0112X 021002718 IL Primary

Addresses

Primary practice location

2500 Ridge Ave Ste 302
Evanston, IL 60201-2477

Mailing address

2500 Ridge Ave Ste 302
Evanston, IL 60201-2477
Phone (847) 328-8899

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180501000028 IL Practitioner - Maxillofacial Surgery 0345390175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1865

800 Oak St
Suite 101
Winnetka, IL 60093-2523
Phone (847) 446-1560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021002718ILMDOral and Maxillofacial Surgery Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Oral & Facial Surgery Institute Oral and Maxillofacial Surgery Current Accepting new patients
Greater St Louis Oral & Maxillofacial Surgery PC CurrentSince Jul 1, 2009 Accepting new patients
Lakeside Oral & Implant Surgery Institute, PC Oral and Maxillofacial Surgery CurrentSince Mar 22, 2018 Accepting new patients
Joseph Canzona DDS MD LTD Past Accepting new patients
Alexander Oral Surgery, LTD. Past Accepting new patients

Locations

2500 Ridge Ave
Ste 302
Evanston, IL 60201
Phone (847) 328-8899

800 Oak St
Ste 101
Winnetka, IL 60093
Phone (847) 446-1560

1 Barnes Jewish Hospital Plz
Ste 230
Saint Louis, MO 63110
Phone (314) 361-6006

1040 N Mason Rd
Ste 207
Saint Louis, MO 63141
Phone (314) 453-9705

Interoperability endpoints

  • Direct secure messaging: aharvey164230@uchospital.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1851551642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE STE 302",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012477",
            "telephone_number": "847-328-8899",
            "fax_number": "847-563-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE STE 302",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012477",
            "telephone_number": "847-328-8899",
            "fax_number": "847-563-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "ALAN",
        "middle_name": "ANDREAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-15",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021002718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.