NPIMap

Organization Active NPI

Harlan W. Haimes, D.D.S., LTD.

  • Periodontics
  • Northbrook, IL
National Provider Identifier
1861552846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
19A14473 & 21S839 Issued in IL
Legal business name
HARLAN W. HAIMES, D.D.S., LTD.
Practice address
1290 Shermer Rd
Suite 2
Northbrook, IL 60062-4567
Phone
(847) 564-1012
Fax
(847) 564-3606
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Harlan W. Haimes, D.D.S.
Title
Periodontist
Phone
(847) 564-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 19A14473 & 21S839 IL Primary

Addresses

Primary practice location

1290 Shermer Rd
Suite 2
Northbrook, IL 60062-4567

Mailing address

1290 Shermer Rd
Suite 2
Northbrook, IL 60062-4567
Phone (847) 564-1012

National Provider Directory

National Provider Directory

Locations

1290 Shermer Rd
Ste 2
Northbrook, IL 60062
Phone (847) 564-1012

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861552846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SHERMER RD",
            "address_2": "SUITE 2",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624567",
            "telephone_number": "847-564-1012",
            "fax_number": "847-564-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SHERMER RD",
            "address_2": "SUITE 2",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624567",
            "telephone_number": "847-564-1012",
            "fax_number": "847-564-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLAN W. HAIMES, D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAIMES",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "847-564-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "19A14473 & 21S839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.