Elgin Dental Care, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELGIN DENTAL CARE, LLC

Practice address

431 Summit St Ste 105
Elgin, IL 60120-3861

Phone

(847) 742-6717

NPI assigned

Oct 8, 2018

Last updated

Mar 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristy Wolter

Title

Revenue Cycle Director

Phone

(630) 339-3172

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1699240416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 E WOODFIELD RD STE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734955",
            "telephone_number": "630-339-3172",
            "fax_number": "630-891-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SUMMIT ST STE 105",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203861",
            "telephone_number": "847-742-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "WOLTER",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "630-339-3172"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elgin Cardiovascular LTD
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• Elgin Center Pharmacy Inc (Elgin Center Pharmacy)
• Elgin Charter School Initiative LLC (Elgin Math and Science Academy)
• Elgin Dental Associates
• Elgin Dental Profile LTD.
• Elgin Endocrinology
• Elgin Eye Care
• Elgin Family Eye Care LLC
• Elgin Family Physicians, SC

• Dental Clinic/Center in Elgin, IL
• Providers in Elgin, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.