NPIMap

Organization Active NPI

Advanced Periodontics

  • Periodontics
  • Arlington HTS., IL
National Provider Identifier
1639397995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
19015917 Issued in IL
Legal business name
ADVANCED PERIODONTICS
Practice address
1420 N. Arlington HTS. Rd. #110
Arlington HTS., IL 60004
Phone
(847) 255-3021
NPI assigned
Apr 23, 2007
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
Ms. Linda Kardos
Title
Practice Manager
Phone
(847) 255-3021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 19015917 IL Primary

Addresses

Primary practice location

1420 N. Arlington HTS. Rd. #110
Arlington HTS., IL 60004

Mailing address

1420 N. Arlington HTS. Rd. #110
Arlington HTS., IL 60004
Phone (847) 255-3021

National Provider Directory

National Provider Directory

Locations

1420 N Arlington Heights Rd
Ste 110
Arlington Hts, IL 60004
Phone (847) 255-3021

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639397995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N. ARLINGTON HTS. RD. #110",
            "city": "ARLINGTON HTS.",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-255-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N. ARLINGTON HTS. RD. #110",
            "city": "ARLINGTON HTS.",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-255-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARDOS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-255-3021",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "19015917",
            "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.