NPIMap

Organization Active NPI

BDD of Illinois P.C.

Doing business as Elgin Dental Associates

  • Dentist
  • Elgin, IL
National Provider Identifier
1376214346
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BDD OF ILLINOIS P.C.
Doing business as
Elgin Dental Associates
Practice address
1030 Summit St
Elgin, IL 60120-4371
Phone
(847) 888-8282
NPI assigned
Sep 21, 2021
Organization subpart
Yes
Parent organization
BDD OF ILLINOIS P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Authorized official

Name
Jay Jorbin
Title
Cfo
Phone
(312) 805-8590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1030 Summit St
Elgin, IL 60120-4371

Mailing address

333 W 1St St
Elmhurst, IL 60126-2641
Phone (312) 805-8590

Other names 1

  • Elgin Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BDD of Illinois PC4 organizations share this tax ID, including this one
Part of
BDD of Illinois PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776556800000",
    "number": "1376214346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262641",
            "telephone_number": "312-805-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204371",
            "telephone_number": "847-888-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDD OF ILLINOIS P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BDD OF ILLINOIS P.C.",
        "enumeration_date": "2021-09-21",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "JORBIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-805-8590"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elgin Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elgin Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 19, 2026; 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.