DR. CHARLES J TANNENBAUM DDS
NPI 1720252224
Dentist in Mchenry, IL

Q: What is Charles Tannenbaum's NPI number?

The NPI number for Charles Tannenbaum is 1720252224. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Q: What is Charles Tannenbaum's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 15, 2008PECOS Enrolled

5404 W ELM ST, STE F, MCHENRY, IL 60050(815) 759-0871(815) 759-0875 Get Directions Write a Review

NPPES record last updated: January 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Charles J Tannenbaum Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES J TANNENBAUM DDS (NPI 1720252224) is an individual dentist in Mchenry, Illinois, licensed in Illinois (019-015317) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720252224

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CHARLES J TANNENBAUMCredential: DDS

Location Address5404 W ELM ST, STE FMchenry, IL 60050-4052

Mailing Address5404 W Elm St, Ste FMchenry, IL 60050-4052 · (815) 759-0871 · Fax (815) 759-0875

Phone(815) 759-0871

Fax(815) 759-0875

Sole ProprietorYes

Enumeration DateApril 15, 2008

Last NPPES UpdateJanuary 1, 2012

✔ NPI 1720252224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019-015317

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5404 W ELM ST, Mchenry, IL 60050

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles J Tannenbaum Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Sue March 10, 2024

5/5

Awesome dentist. Great with me because I have alot of anxiety and a phobia to dentist in general. But he is great with me!!

Provider 5/5 Office Staff 5/5

Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROCARE DENTAL GROUP, P.C.

Dentist

5404 W ELM ST, STE F
MCHENRY, IL 60050

McHenry County (815) 759-0871

MRS. JEANNE MARIE BROWNING MS, APN, CHTP

Registered Nurse (Ambulatory Care)

5404 W ELM ST, SUITE Q
MCHENRY, IL 60050

McHenry County (815) 344-0020

JAIMIE V SENESE

Counselor

5404 W ELM ST
MCHENRY, IL 60050

McHenry County (815) 331-8768

ANDREA SUE CLEM DO

Family Medicine

5404 W ELM ST, SUITE Q
MCHENRY, IL 60050

McHenry County (815) 344-0020

JACLYN RENEE KANE MSN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

5404 W ELM ST
MCHENRY, IL 60050

McHenry County (847) 915-9046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Tannenbaum's NPI number?

The NPI number for Charles Tannenbaum is 1720252224. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Charles Tannenbaum located?

Charles Tannenbaum practices at 5404 W Elm St Ste F, Mchenry, IL 60050. The listed phone number is (815) 759-0871.

What is Charles Tannenbaum's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Charles Tannenbaum enrolled in Medicare?

Yes. Charles Tannenbaum is registered in the Medicare PECOS enrollment system.

What insurance does Charles Tannenbaum accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Charles Tannenbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Tannenbaum was last updated on January 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.