NPIMap

Organization Active NPI

Algonquin Kids Dentistry, Inc

  • Pediatric Dentistry
  • Algonquin, IL
National Provider Identifier
1669839593
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
021.001777 Issued in IL
Legal business name
ALGONQUIN KIDS DENTISTRY, INC
Practice address
4097 W Algonquin Rd
Algonquin, IL 60102-9401
Phone
(224) 654-6543
NPI assigned
Jan 22, 2016
Organization subpart
Yes
Parent organization
ALL ABOUT KIDS DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Authorized official

Name
Dr. Victoria Ursitti, D.M.D.NPI 1295953529
Title
Owner/Doctor
Phone
(224) 654-6543

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 021.001777 IL Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

4097 W Algonquin Rd
Algonquin, IL 60102-9401

Mailing address

4097 W Algonquin Rd
Algonquin, IL 60102-9401
Phone (224) 654-6543

National Provider Directory

National Provider Directory
Part of
All About Kids Dentistry LLC

Locations

4097 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 654-6543

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1669839593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4097 W ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029401",
            "telephone_number": "224-654-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4097 W ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029401",
            "telephone_number": "224-654-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALGONQUIN KIDS DENTISTRY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALL ABOUT KIDS DENTISTRY",
        "enumeration_date": "2016-01-22",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "URSITTI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "224-654-6543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021.001777",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.