Organization Active NPI

Garrett D. Obenauf DMD PC

  • Dental Clinic/Center
  • Grayslake, IL
National Provider Identifier
1871438077
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GARRETT D. OBENAUF DMD PC
Practice address
205 Commerce Dr Ste a
Grayslake, IL 60030-1646
Phone
(224) 381-6853
NPI assigned
Apr 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Garrett David Obenauf, DMDNPI 1356969257
Title
Owner
Phone
(224) 381-6853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

205 Commerce Dr Ste a
Grayslake, IL 60030-1646

Mailing address

205 Commerce Dr Ste a
Grayslake, IL 60030-1646
Phone (847) 548-2020

National Provider Directory

National Provider Directory

Locations

205 Commerce Dr
Ste A
Grayslake, IL 60030
Phone (224) 381-6853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1871438077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COMMERCE DR STE A",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301646",
            "telephone_number": "847-548-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COMMERCE DR STE A",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301646",
            "telephone_number": "224-381-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT D. OBENAUF DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "OBENAUF",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-381-6853",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.