Individual provider Active NPI

Alan Andrew Dalessandro, DDS

  • Periodontics
  • Hoffman Estates, IL
National Provider Identifier
1508936147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Practice address
2500 W Higgins Rd
Suite 665
Hoffman Estates, IL 60195-5220
Phone
(847) 884-0125
Fax
(847) 884-0161
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X IL Primary

Addresses

Primary practice location

2500 W Higgins Rd
Suite 665
Hoffman Estates, IL 60195-5220

Mailing address

2500 W Higgins Rd
Suite 665
Hoffman Estates, IL 60195-5220
Phone (847) 884-0125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 5, 2015 through May 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019016716ILMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan a Dalessandro DDS LTD Periodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508936147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD",
            "address_2": "SUITE 665",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601955220",
            "telephone_number": "847-884-0125",
            "fax_number": "847-884-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD",
            "address_2": "SUITE 665",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601955220",
            "telephone_number": "847-884-0125",
            "fax_number": "847-884-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALESSANDRO",
        "first_name": "ALAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.