Active NPI
Alexandra Fontana
- Dentist
- Chicago, IL
National Provider Identifier
1700778966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.036468
- Practice address
- 806 W Fulton Market
Chicago, IL 60607-1302 - Phone
- (708) 382-5923
- NPI assigned
- Jul 21, 2025
- Last updated
- Aug 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.036468 | IL | Primary |
Addresses
Primary practice location
806 W Fulton Market
Chicago, IL 60607-1302
Mailing address
1109 W Washington Blvd Apt 7B
Chicago, IL 60607-2116
Phone (315) 456-8856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.036468 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1700778966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 W WASHINGTON BLVD APT 7B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072116",
"telephone_number": "315-456-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 W FULTON MARKET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071302",
"telephone_number": "708-382-5923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTANA",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-21",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.036468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.