Individual provider Active NPI

Garfield C Batchelor, DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1871616532
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025104 Issued in IL
Practice address
3500 W 111TH St
Chicago, IL 60655-3300
Phone
(773) 238-1717
Fax
(773) 779-1656
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019025104 IL Primary
General Practice Dentistry 1223G0001X 12285 TN

Addresses

Primary practice location

3500 W 111TH St
Chicago, IL 60655-3300

Mailing address

3500 W 111TH St
Chicago, IL 60655-3300
Phone (773) 238-1717

Other identifiers 2

IdentifierTypeStateIssuer
019025104OtherILSTATE LICENSE
12285OtherTNSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 10, 2026 through Apr 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019025104ILMDGeneral Practice Dentistry
12285TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Family Dentistry, P.C. General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1871616532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553300",
            "telephone_number": "773-238-1717",
            "fax_number": "773-779-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553300",
            "telephone_number": "773-238-1717",
            "fax_number": "773-779-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATCHELOR",
        "first_name": "GARFIELD",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025104",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12285",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "019025104",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12285",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.