NPIMap

Organization Active NPI

Dana E. Fender, D.M.D., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Champaign, IL
National Provider Identifier
1346739372
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19.031054 Issued in IL
Legal business name
DANA E. FENDER, D.M.D., P.C.
Practice address
1715 Broadmoor Dr Ste a
Champaign, IL 61821-5984
Phone
(217) 356-2222
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Dana E Fender, DMD
Title
Owner
Phone
(217) 356-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 19.031054 IL Primary

Addresses

Primary practice location

1715 Broadmoor Dr Ste a
Champaign, IL 61821-5984

Mailing address

PO Box 674467
Dallas, TX 75267-4467
Phone (217) 356-2222

Other practice location 1

1607 18th St
Charleston, IL 61920-3606
Phone (217) 348-0424

Other practice location 2

715 N Giant City Rd Ste 3
Carbondale, IL 62902-6401
Phone (618) 549-2100

Other practice location 3

3108 W DeYoung St Ste A
Marion, IL 62959-5548
Phone (618) 997-6640

Other practice location 4

1129 Randall Ct
Geneva, IL 60134-3911
Phone (630) 232-2277

Other practice location 5

895 S State St Ste 303
Hampshire, IL 60140-9600
Phone (847) 289-8800

Other practice location 6

450 Green Bay Rd
Kenilworth, IL 60043-1074
Phone (847) 251-6228

Other practice location 7

4777 Il-71
Oswego, IL 60543
Phone (630) 554-9447

Other practice location 8

484 Briargate Dr Unit 101
South Elgin, IL 60177-2225
Phone (847) 289-8800

Other practice location 9

116 W Willow Ave
Wheaton, IL 60187-5276
Phone (630) 668-0197

Other practice location 10

1640 Capital St Ste 500
Elgin, IL 60124-8078
Phone (847) 289-8800

Other practice location 11

34 N Island Ave Ste A
Batavia, IL 60510-1996
Phone (630) 879-8707

Other practice location 12

2320 Esplanade Dr
Algonquin, IL 60102-5448
Phone (847) 854-1873

Other practice location 13

70 S Constitution Dr Ste 102
Aurora, IL 60506-7343
Phone (630) 896-5400

Other practice location 14

12 S Roselle Rd
Schaumburg, IL 60193-5542
Phone (847) 289-8800

National Provider Directory

National Provider Directory

Locations

2320 Esplanade Dr
Algonquin, IL 60102
Phone (847) 289-8800

70 S Constitution Dr
Ste 102
Aurora, IL 60506
Phone (630) 896-5400

34 N Island Ave
Ste A
Batavia, IL 60510
Phone (630) 879-8707

715 N Giant City Rd
Ste 3
Carbondale, IL 62902
Phone (618) 549-2100

1715 Broadmoor Dr
Ste A
Champaign, IL 61821
Phone (217) 278-0130

1607 18th St
Charleston, IL 61920
Phone (217) 348-0424

1640 Capital St
Ste 500
Elgin, IL 60124
Phone (773) 920-8841

1129 Randall Ct
Geneva, IL 60134
Phone (630) 232-2277

895 S State St
Ste 303
Hampshire, IL 60140
Phone (847) 289-8800

12 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 289-8800

484 Briargate Dr
Unit 101
South Elgin, IL 60177
Phone (847) 289-8800

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1346739372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674467",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674467",
            "telephone_number": "217-356-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 BROADMOOR DR STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215984",
            "telephone_number": "217-356-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 18th St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "IL",
            "postal_code": "619203606",
            "country_code": "US",
            "telephone_number": "217-348-0424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 N Giant City Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629026401",
            "country_code": "US",
            "telephone_number": "618-549-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3108 W DeYoung St Ste A",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629595548",
            "country_code": "US",
            "telephone_number": "618-997-6640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1129 Randall Ct",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601343911",
            "country_code": "US",
            "telephone_number": "630-232-2277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 S State St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Hampshire",
            "state": "IL",
            "postal_code": "601409600",
            "country_code": "US",
            "telephone_number": "847-289-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Kenilworth",
            "state": "IL",
            "postal_code": "600431074",
            "country_code": "US",
            "telephone_number": "847-251-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4777 IL-71",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "60543",
            "country_code": "US",
            "telephone_number": "630-554-9447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "484 Briargate Dr Unit 101",
            "address_purpose": "LOCATION",
            "city": "South Elgin",
            "state": "IL",
            "postal_code": "601772225",
            "country_code": "US",
            "telephone_number": "847-289-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 W Willow Ave",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601875276",
            "country_code": "US",
            "telephone_number": "630-668-0197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 Capital St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601248078",
            "country_code": "US",
            "telephone_number": "847-289-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 N Island Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "IL",
            "postal_code": "605101996",
            "country_code": "US",
            "telephone_number": "630-879-8707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2320 Esplanade Dr",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601025448",
            "country_code": "US",
            "telephone_number": "847-854-1873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 S Constitution Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605067343",
            "country_code": "US",
            "telephone_number": "630-896-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 S Roselle Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601935542",
            "country_code": "US",
            "telephone_number": "847-289-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANA E. FENDER, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "FENDER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-356-2222",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "19.031054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.