Organization Active NPI

Apple Dental Associates LTD

  • General Practice Dentistry
  • Des Plaines, IL
National Provider Identifier
1972682151
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
01919899 Issued in IL
Legal business name
APPLE DENTAL ASSOCIATES LTD
Practice address
712 Lee St
Des Plaines, IL 60016-4515
Phone
(847) 296-8111
Fax
(847) 296-8113
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James L O'Carroll, DD
Title
President
Phone
(847) 296-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 01919899 IL Primary

Addresses

Primary practice location

712 Lee St
Des Plaines, IL 60016-4515

Mailing address

712 Lee St
Des Plaines, IL 60016-4515
Phone (847) 296-8111

National Provider Directory

National Provider Directory

Locations

712 Lee St
Des Plaines, IL 60016
Phone (847) 296-8111

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972682151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164515",
            "telephone_number": "847-296-8111",
            "fax_number": "847-296-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164515",
            "telephone_number": "847-296-8111",
            "fax_number": "847-296-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE DENTAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CARROLL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-296-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01919899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.