Henry Clay Bodde, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.036332 Issued in IL

Practice address

1 Chicago Ave
Oak Park, IL 60302-2432

Phone

(708) 948-7744

NPI assigned

Apr 2, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Dental Il - Chad Wise PC

  • Dentist
  • Oak Park, IL
  • NPI 1710714233

  General Practice

  NPD
• D2 Dental of Lansing, P.C.

  • General Practice Dentistry
  • Oak Park, IL
  • NPI 1891259768
  NPD (past)

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1699579458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W IOWA ST APT 2R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225893",
            "telephone_number": "314-601-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022432",
            "telephone_number": "708-948-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDE",
        "first_name": "HENRY",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.036332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom and Balance Therapy
• Justin D Bloomberg, DO, OD
• Kim Blount
• Blue Iris Therapy, PLLC
• Rebecca Kristine Boblett
• Ana Bon
• Anna M Bonick, RN, CD
• Betzaida Bonilla-Davila
• Addison Grace Boore
• Karen Bopp, MA, LCPC

• General Practice Dentistry in Oak Park, IL
• Providers in Oak Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.