Organization Active NPI

McElroy Pediatric Denistry, LTD.

  • Pediatric Dentistry
  • Bloomingdale, IL
National Provider Identifier
1720077068
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MCELROY PEDIATRIC DENISTRY, LTD.
Practice address
231 S Gary Ave
Suite 105
Bloomingdale, IL 60108-2234
Phone
(630) 351-4440
Fax
(630) 351-0401
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William J McElroy, D.D.S.NPI 1598723892
Title
Owner/President
Phone
(630) 351-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X IL Primary

Addresses

Primary practice location

231 S Gary Ave
Suite 105
Bloomingdale, IL 60108-2234

Mailing address

231 S Gary Ave
Suite 105
Bloomingdale, IL 60108-2234
Phone (630) 351-4440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720077068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S GARY AVE",
            "address_2": "SUITE 105",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082234",
            "telephone_number": "630-351-4440",
            "fax_number": "630-351-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S GARY AVE",
            "address_2": "SUITE 105",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082234",
            "telephone_number": "630-351-4440",
            "fax_number": "630-351-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCELROY PEDIATRIC DENISTRY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "630-351-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.