NPIMap

Organization Active NPI

Ali Tekdogan DDS Addison LLC

  • Dental Clinic/Center
  • Addison, IL
National Provider Identifier
1740708015
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019025188 Issued in IL
Legal business name
ALI TEKDOGAN DDS ADDISON LLC
Practice address
1001 W Lake St
Addison, IL 60101-2094
Phone
(630) 543-2300
Fax
(630) 543-7930
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Authorized official

Name
Ali Tekdogan, DDSNPI 1093728925
Title
Owner
Phone
(847) 945-1050

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
Dental Clinic/Center 261QD0000X 019025188 IL Primary

Addresses

Primary practice location

1001 W Lake St
Addison, IL 60101-2094

Mailing address

720 Osterman Ave Ste 304
Deerfield, IL 60015-4339
Phone (847) 945-1050

Other names 1

  • Great Smile Addison Doing business as

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": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1740708015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OSTERMAN AVE STE 304",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154339",
            "telephone_number": "847-945-1050",
            "fax_number": "847-940-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012094",
            "telephone_number": "630-543-2300",
            "fax_number": "630-543-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI TEKDOGAN DDS ADDISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "TEKDOGAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-945-1050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019025188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smile Addison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.