Active NPI
William J McElroy, DDS
- Pediatric Dentistry
- Bloomingdale, IL
National Provider Identifier
1598723892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 019017570
- Practice address
- 231 S Gary Ave
#105
Bloomingdale, IL 60108-2234 - Phone
- (630) 351-4440
- Fax
- (630) 351-0401
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 019017570 | IL | Primary |
Addresses
Primary practice location
231 S Gary Ave
#105
Bloomingdale, IL 60108-2234
Mailing address
231 S Gary Ave
#105
Bloomingdale, IL 60108-2234
Phone (630) 351-4440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019017570 | IL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDP Bloomingdale PC | Past | Accepting new patients | |
| McElroy Pediatric Denistry, LTD. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Bloomingdale, IL
- NPI 1720077068
-
- Dental Clinic/Center
- Bloomingdale, IL
- NPI 1467026567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1598723892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 S GARY AVE",
"address_2": "#105",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082234",
"telephone_number": "630-351-4440",
"fax_number": "630-351-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 S GARY AVE",
"address_2": "#105",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082234",
"telephone_number": "630-351-4440",
"fax_number": "630-351-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELROY",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "019017570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.