Active NPI
West Aurora Family Dental LLC
- General Practice Dentistry
- Aurora, IL
National Provider Identifier
1295254589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019031185
- Legal business name
- WEST AURORA FAMILY DENTAL LLC
- Practice address
- 1940 W Galena Blvd Ste 7
Aurora, IL 60506-4482 - Phone
- (630) 339-3172
- NPI assigned
- Sep 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan J Acierno, DDS
- Title
- Manager
- Phone
- (630) 339-3172
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019031185 | IL | Primary |
| General Practice Dentistry | 1223G0001X | 019029852 | IL | |
| General Practice Dentistry | 1223G0001X | 019025570 | IL | |
| General Practice Dentistry | 1223G0001X | 019026827 | IL |
Addresses
Primary practice location
1940 W Galena Blvd Ste 7
Aurora, IL 60506-4482
Mailing address
1699 E Woodfield Rd Ste 102
Schaumburg, IL 60173-4955
Phone (630) 339-3172
National Provider Directory
National Provider DirectoryLocations
1940 W Galena Blvd
Ste 7
Aurora, IL 60506
Phone (630) 835-0506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505692800000",
"number": "1295254589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1699 E WOODFIELD RD STE 102",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734955",
"telephone_number": "630-339-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 W GALENA BLVD STE 7",
"city": "AURORA",
"state": "IL",
"postal_code": "605064482",
"telephone_number": "630-339-3172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST AURORA FAMILY DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-18",
"last_updated": "2017-09-18",
"status": "A",
"authorized_official_last_name": "ACIERNO",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "630-339-3172",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019031185",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019029852",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019025570",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019026827",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.