NPIMap

Organization Active NPI

Paulina Erdle, DMD, PLLC

  • Dental Clinic/Center
  • Park Ridge, IL
National Provider Identifier
1134775000
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PAULINA ERDLE, DMD, PLLC
Practice address
1613 Walnut St
Park Ridge, IL 60068-1749
Phone
(312) 965-5630
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Dr. Paulina Erdle, DMDNPI 1427498096
Title
President
Phone
(312) 965-5630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1613 Walnut St
Park Ridge, IL 60068-1749

Mailing address

1613 Walnut St
Park Ridge, IL 60068-1749
Phone (312) 965-5630

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": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1134775000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 WALNUT ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681749",
            "telephone_number": "312-965-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 WALNUT ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681749",
            "telephone_number": "312-965-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINA ERDLE, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "ERDLE",
        "authorized_official_first_name": "PAULINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-965-5630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.