NPIMap

Organization Active NPI

Chad C. Drouin, D.M.D., P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Glen Ellyn, IL
National Provider Identifier
1922347566
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019.027416 Issued in IL
Legal business name
CHAD C. DROUIN, D.M.D., P.C.
Practice address
493 Duane St
Suite 301
Glen Ellyn, IL 60137-4501
Phone
(630) 858-5755
Fax
(630) 858-5760
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Dr. Chad C Drouin, DMDNPI 1780840611
Title
Officer
Phone
(630) 858-5755

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 019.027416 IL Primary

Addresses

Primary practice location

493 Duane St
Suite 301
Glen Ellyn, IL 60137-4501

Mailing address

493 Duane St
Suite 301
Glen Ellyn, IL 60137-4501
Phone (630) 858-5755

Other identifiers 1

IdentifierTypeStateIssuer
019.027416OtherILDENTAL LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

493 Duane St
Ste 301
Glen Ellyn, IL 60137
Phone (630) 858-5755

Practitioners & affiliated clinicians

Practitioners 2

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": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1922347566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 DUANE ST",
            "address_2": "SUITE 301",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374501",
            "telephone_number": "630-858-5755",
            "fax_number": "630-858-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 DUANE ST",
            "address_2": "SUITE 301",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374501",
            "telephone_number": "630-858-5755",
            "fax_number": "630-858-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD C. DROUIN, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "DROUIN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "630-858-5755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019.027416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "019.027416",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.