Individual provider Active NPI

Anthony P Eltink, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1740329747
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021002155 Issued in IL
Practice address
125 E Lake Cook Rd
Suite 206
Buffalo Grove, IL 60089-4395
Phone
(847) 537-0210
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 021002155 IL Primary

Addresses

Primary practice location

125 E Lake Cook Rd
Suite 206
Buffalo Grove, IL 60089-4395

Mailing address

125 E Lake Cook Rd
Suite 206
Buffalo Grove, IL 60089-4395
Phone (847) 537-0210

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
021002155ILMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Weintraub and Eltink Orthodontics, S.C. Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Locations

125 E Lake Cook Rd
Ste 206
Buffalo Grove, IL 60089
Phone (847) 537-0210

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740329747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E LAKE COOK RD",
            "address_2": "SUITE 206",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894395",
            "telephone_number": "847-537-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E LAKE COOK RD",
            "address_2": "SUITE 206",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894395",
            "telephone_number": "847-537-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTINK",
        "first_name": "ANTHONY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.