Organization Active NPI

Natalya Nagornaya DDS PC

  • General Practice Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1073918629
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.025691 Issued in IL
Legal business name
NATALYA NAGORNAYA DDS PC
Practice address
472 Half Day Rd
Buffalo Grove, IL 60089
Phone
(847) 634-2525
Fax
(847) 634-2860
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Dr. Natalya Nagornaya
Title
President
Phone
(847) 634-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019.025691 IL Primary

Addresses

Primary practice location

472 Half Day Rd
Buffalo Grove, IL 60089

Mailing address

472 Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 634-2525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1073918629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 HALF DAY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "847-634-2525",
            "fax_number": "847-634-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 HALF DAY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "847-634-2525",
            "fax_number": "847-634-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALYA NAGORNAYA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "NAGORNAYA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-634-2525",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.025691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.