Organization Active NPI

Osmar Rodriguez D.D.S. P.C.

  • Dentist
  • Elgin, IL
National Provider Identifier
1457524936
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025096 Issued in IL
Legal business name
OSMAR RODRIGUEZ D.D.S. P.C.
Practice address
300 S McLean Blvd
Unit M.
Elgin, IL 60123-1023
Phone
(847) 531-5250
Fax
(847) 531-5270
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Osmar Rodriguez, D.D.S.
Title
President
Phone
(847) 531-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019025096 IL Primary

Addresses

Primary practice location

300 S McLean Blvd
Unit M.
Elgin, IL 60123-1023

Mailing address

300 S McLean Blvd
Unit M.
Elgin, IL 60123-1023
Phone (847) 531-5250

Other names 1

  • Elgin Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1457524936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S MCLEAN BLVD",
            "address_2": "UNIT M.",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231023",
            "telephone_number": "847-531-5250",
            "fax_number": "847-531-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MCLEAN BLVD",
            "address_2": "UNIT M.",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231023",
            "telephone_number": "847-531-5250",
            "fax_number": "847-531-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSMAR RODRIGUEZ D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "OSMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-531-5250",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elgin Dental",
            "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 Jun 24, 2008; 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.