Individual provider Active NPI

Alexander Ayngorn, DDS

  • General Practice Dentistry
  • Lincolnwood, IL
National Provider Identifier
1447249479
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
4433 W Touhy Ave
Ste360
Lincolnwood, IL 60712-1820
Phone
(847) 933-0255
Fax
(847) 933-0457
NPI assigned
Oct 21, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

4433 W Touhy Ave
Ste360
Lincolnwood, IL 60712-1820

Mailing address

4433 W Touhy Ave
Ste360
Lincolnwood, IL 60712-1820
Phone (847) 933-0255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160426000068 IL Order and Referring Only - DentistPractitioner - Dentist 3577862556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-023387ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447249479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE",
            "address_2": "STE360",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121820",
            "telephone_number": "847-933-0255",
            "fax_number": "847-933-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE",
            "address_2": "STE360",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121820",
            "telephone_number": "847-933-0255",
            "fax_number": "847-933-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYNGORN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.