Organization Active NPI

Arden Dental, P.C.

  • General Practice Dentistry
  • Bloomingdale, IL
National Provider Identifier
1639508641
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025366 Issued in IL
Legal business name
ARDEN DENTAL, P.C.
Practice address
303 E Army Trail Rd Ste 421
Bloomingdale, IL 60108-2155
Phone
(630) 529-0303
NPI assigned
Nov 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Authorized official

Name
Dr. Wen Y Lu, D.D.S.
Title
President
Phone
(312) 371-9779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019025366 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 421
Bloomingdale, IL 60108-2155

Mailing address

PO Box 3282
Oak Brook, IL 60522-3282
Phone (312) 371-9779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1639508641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3282",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223282",
            "telephone_number": "312-371-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 421",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082155",
            "telephone_number": "630-529-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEN DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "WEN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-371-9779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025366",
            "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 Nov 11, 2013; 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.