Individual provider Active NPI

Joseph Herrli, DDS

  • General Practice Dentistry
  • Oak Lawn, IL
National Provider Identifier
1912896176
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019036027 Issued in IL
Practice address
9101 S Cicero Ave
Oak Lawn, IL 60453-1804
Phone
(708) 419-1601
NPI assigned
Jul 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 019036027 IL Primary

Addresses

Primary practice location

9101 S Cicero Ave
Oak Lawn, IL 60453-1804

Mailing address

720 Castlerea LN
Des Plaines, IL 60016-8736

Other practice location 1

2803 W 95th St
Evergreen Park, IL 60805-2702
Phone (708) 419-1402

Other practice location 2

14301 Cicero Ave
Crestwood, IL 60418-2110
Phone (708) 498-4456

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
019036027ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1912896176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CASTLEREA LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600168736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531804",
            "telephone_number": "708-419-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2803 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "IL",
            "postal_code": "608052702",
            "country_code": "US",
            "telephone_number": "708-419-1402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14301 Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "IL",
            "postal_code": "604182110",
            "country_code": "US",
            "telephone_number": "708-498-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRLI",
        "first_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019036027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.