Generand Carandang Algenio, DDS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

021002001 Issued in IL

Practice address

315 Alana Dr
New Lenox, IL 60451-1766

Phone

(815) 462-3030

Fax

(815) 462-4742

NPI assigned

Dec 16, 2014

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Male

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

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Dental Specialty Associates LTD

  • Pediatric Dentistry
  • New Lenox, IL
  • NPI 1992863500
  NPD
• Rebecca Testa Pediatric Dental Specialist PLLC

  dba Rebecca Testa Pediatric Dentistry

  • Pediatric Dentistry
  • Flossmoor, IL
  • NPI 1326795782
  NPD (past)

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1164820544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ALANA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511766",
            "telephone_number": "815-462-3030",
            "fax_number": "815-462-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ALANA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511766",
            "telephone_number": "815-462-3030",
            "fax_number": "815-462-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGENIO",
        "first_name": "GENERAND",
        "middle_name": "CARANDANG",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-16",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025012",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021002001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rameez Alasadi, MD
• Albert Dental Professionals, PC (Atrium Family Dental)
• Briana Albert
• Jillian Aleck
• Jean C Alexandre Jr., MD
• Hazem Alhawasli, M.D.
• Sumera Ali
• All About Womens Health OBGYN & Midwifery LLC
• Mohammad Mustafa Alsheikh
• Omar Altabakhi

• Pediatric Dentistry in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.