Adelina Candelaria, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025189 Issued in IL

Practice address

3325 N Pulaski Rd
Chicago, IL 60641-4024

Phone

(773) 282-2077

Fax

(773) 282-4344

NPI assigned

Feb 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1083911366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414024",
            "telephone_number": "773-282-2077",
            "fax_number": "773-282-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414024",
            "telephone_number": "773-282-2077",
            "fax_number": "773-282-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIA",
        "first_name": "ADELINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025189",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Canciller, MPT
• Presentacion D Cancino, APN
• Claire-Marie Canda, DO
• Mario III Candamo
• Cristina Candel
• Samantha Yarelis Candelario
• Nallyve Candelo, RN IBCLC
• Candescent Counseling LLC
• Candid Illinois, PLLC
• Candid Space Counseling PLLC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.