Alexander Portnoy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.033828 Issued in IL

Practice address

201 E Strong St
Wheeling, IL 60090-2979

Phone

(847) 947-2651

NPI assigned

Jul 12, 2022

Last updated

Jan 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1609500941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E STRONG ST STE 4",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902979",
            "telephone_number": "847-947-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E STRONG ST",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902979",
            "telephone_number": "847-947-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilla Philippe
• Helen Plavnik, M.D.
• Podiatric Management Systems LLC (Anthony Spitz DPM)
• Podiatry Service of America Corp
• Marta J Polka, ED.S.
• Kenneth Portnoy, O.D.
• Paul Potach, DPM
• Michael Preissing, MSW
• Prime Health Medical and Rehab LTD
• Nicole Marie Pronek, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.