Active NPI
Alexander David Einbinder, DDS
- Dentist
- Chicago, IL
National Provider Identifier
1760902878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107951
- Practice address
- 4516 S Damen Ave
Chicago, IL 60609-3013 - Phone
- (516) 423-6614
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019031292 | IL | |
| Dentist | 122300000X | 1201325A | IN | |
| Dentist | 122300000X | 061656 | NY | |
| Dentist | 122300000X | 107951 | CA | Primary |
Addresses
Primary practice location
4516 S Damen Ave
Chicago, IL 60609-3013
Mailing address
161 W Kinzie St Apt 1211
Chicago, IL 60654-4737
Other practice location 1
1101 Broadway
Chula Vista, CA 91911
Phone (516) 817-8887
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201325A | IN | MD | Dentist |
| 061656 | NY | MD | Dentist |
Interoperability endpoints
- alexander.einbinder.p15@direct.fhn-fqhc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1760902878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W KINZIE ST APT 1211",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4516 S DAMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606093013",
"telephone_number": "516-423-6614"
}
],
"practiceLocations": [
{
"address_1": "1101 Broadway",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "91911",
"country_code": "US",
"telephone_number": "516-817-8887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EINBINDER",
"first_name": "ALEXANDER",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019031292",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "1201325A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "061656",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107951",
"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 Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.