NPIMap

Organization Active NPI

Anna de la Fuente DMD PC

  • General Practice Dentistry
  • Wheeling, IL
National Provider Identifier
1487000535
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.030345 Issued in IL
Legal business name
ANNA DE LA FUENTE DMD PC
Practice address
282 McHenry Rd
Wheeling, IL 60090-3202
Phone
(847) 235-6859
Fax
(847) 235-6958
NPI assigned
May 9, 2016
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Dr. Anna De la Fuente, DMDNPI 1083099733
Title
President
Phone
(630) 564-0096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.030345 IL Primary

Addresses

Primary practice location

282 McHenry Rd
Wheeling, IL 60090-3202

Mailing address

4111 W Annbriar Dr
Peoria, IL 61615-9487

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1487000535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 W ANNBRIAR DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MCHENRY RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903202",
            "telephone_number": "847-235-6859",
            "fax_number": "847-235-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA DE LA FUENTE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "DE LA FUENTE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-564-0096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.