Active NPI
Ardita Ajdini
- Dentist
- Springfield, IL
National Provider Identifier
1467356089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019037495
- Practice address
- 2809 Mansion Rd Ste D
Springfield, IL 62711-6811 - Phone
- (217) 269-1534
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019037495 | IL | Primary |
Addresses
Primary practice location
2809 Mansion Rd Ste D
Springfield, IL 62711-6811
Mailing address
2000 Grants Pond
Chatham, IL 62629-4409
Phone (217) 652-6335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1467356089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 GRANTS POND",
"city": "CHATHAM",
"state": "IL",
"postal_code": "626294409",
"telephone_number": "217-652-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 MANSION RD STE D",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627116811",
"telephone_number": "217-269-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJDINI",
"first_name": "ARDITA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019037495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.