Individual provider Active NPI

Nicole Eileen Elger, D.M.D.

  • Dentist
  • Bloomington, IL
National Provider Identifier
1205117728
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028708 Issued in IL
Practice address
10 Heartland Dr Ste C
Bloomington, IL 61704-7775
Phone
(309) 265-0651
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019028708 IL Primary

Addresses

Primary practice location

10 Heartland Dr Ste C
Bloomington, IL 61704-7775

Mailing address

19902 Murray Hill Rd
Bloomington, IL 61705-5302
Phone (309) 251-7321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019028708ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy for Sleep Current Accepting new patients
Elger Dental, LLC Current Accepting new patients

Locations

10 Heartland Dr
Ste C
Bloomington, IL 61704
Phone (309) 265-0651

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1205117728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19902 MURRAY HILL RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617055302",
            "telephone_number": "309-251-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HEARTLAND DR STE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047775",
            "telephone_number": "309-265-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGER",
        "first_name": "NICOLE",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.