Gary Lippincott

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021001387 Issued in IL

Practice address

70 S Constitution Dr
102
Aurora, IL 60506-7341

Phone

(630) 896-5400

NPI assigned

Oct 13, 2009

Last updated

Oct 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Dana E. Fender, D.M.D., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Champaign, IL
  • NPI 1346739372
  NPD (past)

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1851626691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S CONSTITUTION DR",
            "address_2": "102",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605067341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S CONSTITUTION DR",
            "address_2": "102",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605067341",
            "telephone_number": "630-896-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPINCOTT",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021001387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas John Lindstrom, D.C.
• Vasudha Lingareddy, MD
• Fnu Lipakshi
• Debra Lipman, LPHA
• Edward W Lipman, M.D.
• Jeremy Lippman, DPT, PT
• Katie Liquori, MHP BS
• Joseph E Lisac, MD
• Diamantina Lishman
• Maria Liskiewicz

• Orthodontics and Dentofacial Orthopedics Dentistry in Aurora, IL
• Providers in Aurora, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.