Organization Active NPI

David R. Baldare DDS LTD

  • General Practice Dentistry
  • Arlington HTS, IL
National Provider Identifier
1568675395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID R. BALDARE DDS LTD
Practice address
15 S Dryden PL Ste D
Arlington HTS, IL 60004-6369
Phone
(847) 392-3122
Fax
(847) 392-3178
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynn Ann Olson
Title
Office Manager
Phone
(847) 392-3122

Specialties & licenses 1

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

Addresses

Primary practice location

15 S Dryden PL Ste D
Arlington HTS, IL 60004-6369

Mailing address

15 S Dryden PL Ste D
Arlington HTS, IL 60004-6369
Phone (847) 392-3122

National Provider Directory

National Provider Directory

Locations

15 S Dryden Pl
Ste D
Arlington Hts, IL 60004
Phone (847) 392-3122

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568675395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S DRYDEN PL STE D",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600046369",
            "telephone_number": "847-392-3122",
            "fax_number": "847-392-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S DRYDEN PL STE D",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600046369",
            "telephone_number": "847-392-3122",
            "fax_number": "847-392-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. BALDARE DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-392-3122"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.