Elysia An, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

019026799 Issued in IL

Practice address

2211 S Eola Rd Ste D
Aurora, IL 60503-6485

Phone

(630) 851-5280

Fax

(630) 851-5377

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083822050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 RED HAWK RIDGE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S EOLA RD STE D",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036485",
            "telephone_number": "630-851-5280",
            "fax_number": "630-851-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "ELYSIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Amodu
• Stephanie Y Amor-Arteaga, FNP
• Amperss Diagnostic Imaging Inc.
• Amy Newkirk DMD LLC
• Amy Rojas, M.a., CCC-SLP/L, Inc.
• Indu Anand, PT
• Jennie Andersen-Drake
• Cayla Anderson
• Chasity Anderson
• Claire L Anderson, APN, FNP-BC

• Dentist in Aurora, IL
• Providers in Aurora, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.