NPIMap

Organization Active NPI

Awesome Dentistry Oakbrook Terrace LLC

  • General Practice Dentistry
  • Oakbrook Terrace, IL
National Provider Identifier
1376348151
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AWESOME DENTISTRY OAKBROOK TERRACE LLC
Practice address
1S376 Summit Ave
Court a Unit 1E
Oakbrook Terrace, IL 60181-3930
Phone
(630) 571-3030
Fax
(630) 656-1398
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Raul Tony AlemanNPI 1790938678
Title
Owner/ Dentist
Phone
(630) 373-5050

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1S376 Summit Ave
Court a Unit 1E
Oakbrook Terrace, IL 60181-3930

Mailing address

1S376 Summit Ave
Court a Unit 1E
Oakbrook Terrace, IL 60181-3930
Phone (630) 571-3030

National Provider Directory

National Provider Directory

Locations

1S376 Summit Ave
Ste 1E
Oakbrook Terrace, IL 60181
Phone (630) 571-3030

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": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1376348151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE",
            "address_2": "COURT A UNIT 1E",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813930",
            "telephone_number": "630-571-3030",
            "fax_number": "630-656-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE",
            "address_2": "COURT A UNIT 1E",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813930",
            "telephone_number": "630-571-3030",
            "fax_number": "630-656-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME DENTISTRY OAKBROOK TERRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "ALEMAN",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "630-373-5050"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.