Active NPI
SMD Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Elgin, IL
National Provider Identifier
1689908535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 021001216
- Legal business name
- SMD ORTHODONTICS
- Practice address
- 300 S McLean Blvd Ste M
Elgin, IL 60123-1023 - Phone
- (847) 531-5250
- Fax
- (847) 531-5270
- NPI assigned
- Sep 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Osmar Rodriguez, D.D.S.
- Title
- President/Dentist
- Phone
- (847) 531-5250
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 021001216 | IL | Primary |
| Exclusive Provider Organization | 302F00000X | 021001216 | IL |
Addresses
Primary practice location
300 S McLean Blvd Ste M
Elgin, IL 60123-1023
Mailing address
300 S McLean Blvd Ste M
Elgin, IL 60123-1023
Phone (847) 531-5250
National Provider Directory
National Provider DirectoryLocations
300 S McLean Blvd
Ste M
Elgin, IL 60123
Phone (224) 535-8515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253750400000",
"number": "1689908535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S MCLEAN BLVD STE M",
"city": "ELGIN",
"state": "IL",
"postal_code": "601231023",
"telephone_number": "847-531-5250",
"fax_number": "847-531-5270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S MCLEAN BLVD STE M",
"city": "ELGIN",
"state": "IL",
"postal_code": "601231023",
"telephone_number": "847-531-5250",
"fax_number": "847-531-5270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMD ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-24",
"last_updated": "2009-09-24",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "OSMAR",
"authorized_official_title_or_position": "PRESIDENT/DENTIST",
"authorized_official_telephone_number": "847-531-5250",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "021001216",
"primary": true
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "IL",
"license": "021001216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.