E L O Dental PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

019018384 Issued in IL

Legal business name

E L O DENTAL PC

Practice address

1328 W Algonquin Rd
Arlington HTS, IL 60005-3401

Phone

(847) 818-0700

NPI assigned

Aug 22, 2013

Last updated

Aug 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Osmar Rodriguez, DDSNPI 1720264492

Title

President

Phone

(773) 879-3400

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Osmar Rodriguez

  • Dentist
  • Elgin, IL
  • NPI 1720264492
  NPD (past) Authorized official
• Dawn Ella Diehnelt, DDS

  • General Practice Dentistry
  • Arlington Heights, IL
  • NPI 1891841078
  NPD (past)

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1144654468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 W ALGONQUIN RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600053401",
            "telephone_number": "847-818-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 W ALGONQUIN RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600053401",
            "telephone_number": "847-818-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E L O DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "OSMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-879-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025096",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019018384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Stephen Douglas, DMD
• Dr Edward H Shim DDS LTD
• Dr William B Brand S.C. (Vision One)
• Marie Taylor Duetsch, MSW
• Lauren N Dykens, PA-C
• Lydia Itohan Edokpayi-Aluyi, MD
• Tina S Emmerson, PHARMD
• Robert C Engel, CRNA
• Elyse P. Erlich, M.D.
• Barbara Fifield

• Orthodontics and Dentofacial Orthopedics Dentistry in Arlington HTS, IL
• Providers in Arlington HTS, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.