Active NPI
Scott Allen Drancik, D.M.D., M.S.
- Endodontics
- Dekalb, IL
National Provider Identifier
1861716680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 021001790
- Practice address
- 3251 Commerce Dr Ste a
Dekalb, IL 60115 - Phone
- (815) 756-8881
- Fax
- (815) 756-8882
- NPI assigned
- Mar 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 021001790 | IL | Primary |
Addresses
Primary practice location
3251 Commerce Dr Ste a
Dekalb, IL 60115
Mailing address
3251 Commerce Dr Ste a
Dekalb, IL 60115-7908
Phone (815) 756-8881
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150330000603 | IL | Order and Referring Only - Oral Surgery | 9032436183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021001790 | IL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Illinois Endodontics, LTD | Endodontics | 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.
-
- Endodontics
- Dekalb, IL
- NPI 1023238797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1861716680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3251 COMMERCE DR STE A",
"city": "DEKALB",
"state": "IL",
"postal_code": "601157908",
"telephone_number": "815-756-8881",
"fax_number": "815-756-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 COMMERCE DR STE A",
"city": "DEKALB",
"state": "IL",
"postal_code": "60115",
"telephone_number": "815-756-8881",
"fax_number": "815-756-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRANCIK",
"first_name": "SCOTT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": "021001790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.