Organization Active NPI

Alan M. Polse D.D.S. & Associates, LTD.

  • General Practice Dentistry
  • Elgin, IL
National Provider Identifier
1174570048
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1915649 Issued in IL
Legal business name
ALAN M. POLSE D.D.S. & ASSOCIATES, LTD.
Practice address
2000 Larkin Ave
Suite #102
Elgin, IL 60123-4404
Phone
(847) 888-8108
Fax
(847) 888-8170
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Dr. Alan Merlin Polse, D.D.S.NPI 1487902615
Title
President
Phone
(847) 888-8108

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1915649 IL Primary

Addresses

Primary practice location

2000 Larkin Ave
Suite #102
Elgin, IL 60123-4404

Mailing address

2000 Larkin Ave
Suite #102
Elgin, IL 60123-4404
Phone (847) 888-8108

National Provider Directory

National Provider Directory

Locations

2000 Larkin Ave
Ste 102
Elgin, IL 60123
Phone (847) 287-3127

Practitioners & affiliated clinicians

Practitioners 2

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1174570048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LARKIN AVE",
            "address_2": "SUITE #102",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234404",
            "telephone_number": "847-888-8108",
            "fax_number": "847-888-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LARKIN AVE",
            "address_2": "SUITE #102",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234404",
            "telephone_number": "847-888-8108",
            "fax_number": "847-888-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN M. POLSE D.D.S. & ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "POLSE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MERLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-888-8108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "1915649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.