Organization Active NPI

Figueroa Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winnetka, IL
National Provider Identifier
1235409806
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019027818 Issued in IL
Legal business name
FIGUEROA ORTHODONTICS PLLC
Practice address
1075 Gage St
Winnetka, IL 60093-1704
Phone
(847) 501-4740
Fax
(847) 501-4744
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Dr. Alexander L Figueroa, DMDNPI 1174765218
Title
Manager
Phone
(847) 501-4740

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 019018936 IL
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 019027818 IL Primary

Addresses

Primary practice location

1075 Gage St
Winnetka, IL 60093-1704

Mailing address

1075 Gage St
Winnetka, IL 60093-1704
Phone (847) 501-4740

Other practice location 1

1220 Hobson Rd Ste 228
Naperville, IL 60540-8138
Phone (630) 778-7198

Other identifiers 2

IdentifierTypeStateIssuer
019018936MedicaidIL
019027818MedicaidIL

National Provider Directory

National Provider Directory

Locations

1220 Hobson Rd
Ste 228
Naperville, IL 60540
Phone (630) 778-7198

1075 Gage St
Winnetka, IL 60093
Phone (847) 501-4740

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": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1235409806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 GAGE ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931704",
            "telephone_number": "847-501-4740",
            "fax_number": "847-501-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 GAGE ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931704",
            "telephone_number": "847-501-4740",
            "fax_number": "847-501-4744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Hobson Rd Ste 228",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605408138",
            "country_code": "US",
            "telephone_number": "630-778-7198",
            "fax_number": "630-929-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIGUEROA ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-501-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019018936",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019027818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019018936",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019027818",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.