Organization Active NPI

Daniel N. Uditsky D.D.S. LTD

  • General Practice Dentistry
  • Schaumburg, IL
National Provider Identifier
1669548343
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19A13692 Issued in IL
Legal business name
DANIEL N. UDITSKY D.D.S. LTD
Practice address
650 E Higgins Rd
Suite 7 East
Schaumburg, IL 60173-4762
Phone
(847) 882-8770
Fax
(847) 882-5698
NPI assigned
Nov 27, 2006
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
Dr. Daniel N Uditsky, D.D.S.NPI 1306992326
Title
President
Phone
(847) 882-8770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 19A13692 IL Primary

Addresses

Primary practice location

650 E Higgins Rd
Suite 7 East
Schaumburg, IL 60173-4762

Mailing address

650 E Higgins Rd
Suite 7 East
Schaumburg, IL 60173-4762
Phone (847) 882-8770

National Provider Directory

National Provider Directory

Locations

650 E Higgins Rd
Ste 7E
Schaumburg, IL 60173
Phone (847) 882-8770

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669548343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E HIGGINS RD",
            "address_2": "SUITE 7 EAST",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734762",
            "telephone_number": "847-882-8770",
            "fax_number": "847-882-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E HIGGINS RD",
            "address_2": "SUITE 7 EAST",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734762",
            "telephone_number": "847-882-8770",
            "fax_number": "847-882-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL N. UDITSKY D.D.S. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UDITSKY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-882-8770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A13692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, 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.