Dental Professionals of Algonquin, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025478 Issued in IL

Legal business name

DENTAL PROFESSIONALS OF ALGONQUIN, P.C.

Practice address

1485 Merchant Dr
Algonquin, IL 60102-5917

Phone

(847) 458-6684

Fax

(847) 458-6683

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin D An, DMDNPI 1609031418

Title

President

Phone

(847) 458-6684

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin An, DMD

  • General Practice Dentistry
  • Algonquin, IL
  • NPI 1609031418
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1508935305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-458-6684",
            "fax_number": "847-458-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-458-6684",
            "fax_number": "847-458-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF ALGONQUIN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-458-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Sara De la Cruz
• Dawn M Delaney, MS OTRL
• Alyssa Demma
• Dental Care of Algonquin
• Dental Nexus PLLC
• Dermatology Specialists of Illinois, LTD
• Raj Ajay Desai
• Diamond Physical Therapy and Rehabilitation, PC
• Diana F Penuela-Oneill PC
• Jon Difatta

• General Practice Dentistry in Algonquin, IL
• Providers in Algonquin, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.