Individual provider Active NPI

Michael Stewart Lerman, D.D.S.

  • General Practice Dentistry
  • Highland Park, IL
National Provider Identifier
1881856011
Registry record updated Jun 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019013837 Issued in IL
Practice address
1950 Sheridan Rd
Suite 204
Highland Park, IL 60035-2548
Phone
(847) 433-7333
Fax
(847) 433-9107
NPI assigned
Jun 29, 2008
Last updated
Jun 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019013837 IL Primary

Addresses

Primary practice location

1950 Sheridan Rd
Suite 204
Highland Park, IL 60035-2548

Mailing address

1950 Sheridan Rd
Suite 204
Highland Park, IL 60035-2548
Phone (847) 433-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019013837ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214697600000",
    "number": "1881856011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SHERIDAN RD",
            "address_2": "SUITE 204",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352548",
            "telephone_number": "847-433-7333",
            "fax_number": "847-433-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SHERIDAN RD",
            "address_2": "SUITE 204",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352548",
            "telephone_number": "847-433-7333",
            "fax_number": "847-433-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMAN",
        "first_name": "MICHAEL",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2008-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019013837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2008; 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.