Organization Active NPI

SMD Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elgin, IL
National Provider Identifier
1689908535
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021001216 Issued in IL
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

Updated by the provider on Sep 24, 2009

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.