New Avenue Dental Associates PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NEW AVENUE DENTAL ASSOCIATES PC

Practice address

7546 Janes Ave
Woodridge, IL 60517-2926

Phone

(630) 985-9787

NPI assigned

Jul 29, 2021

Organization subpart

No

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

Authorized official

Name

Kevin Hughes

Title

Office Manager

Phone

(815) 210-3030

Specialties & licenses 1

Addresses

Tax ID family

Av Dental of Woodridge PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Avenue Dental Associates PC

  dba AV Dental of Woodridge PC

  • Dentist
  • Woodridge, IL
  • NPI 1508532730
  NPD tax ID

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1518630185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22548 N PEBBLE LAKE CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238975",
            "telephone_number": "815-210-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7546 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172926",
            "telephone_number": "630-985-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AVENUE DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-210-3030"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venus Denise Nelson, OTR/L
• Vickie Susan Nelson, RN
• Eldwin Neritani
• Melina Nestel
• New Avenue Dental Associates PC (AV Dental of Woodridge PC)
• Christine Nielsen, LMT, MMP
• Jonathon Niemeyer
• Lalitha Nithyanandam
• Laura Nolden
• Laura Marie Norman, DO

• Dentist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.