NPIMap

Organization Active NPI

Airlte Dental of Elgin

  • Dental Clinic/Center
  • Elgin, IL
National Provider Identifier
1851639835
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019022943 Issued in IL
Legal business name
AIRLTE DENTAL OF ELGIN
Practice address
40 N Airlite St
Suite 1a
Elgin, IL 60123-4965
Phone
(847) 214-1324
Fax
(847) 214-1562
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Dr. Charles D Martinez, DMDNPI 1952445157
Title
Dentist/Owner
Phone
(847) 214-1324

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 019022943 IL Primary

Addresses

Primary practice location

40 N Airlite St
Suite 1a
Elgin, IL 60123-4965

Mailing address

40 N Airlite St
Suite 1a
Elgin, IL 60123-4965
Phone (847) 214-1324

National Provider Directory

National Provider Directory

Locations

40 N Airlite St
Ste 1A
Elgin, IL 60123
Phone (847) 214-1324

Practitioners & affiliated clinicians

Practitioners 1

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": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1851639835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N AIRLITE ST",
            "address_2": "SUITE 1A",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234965",
            "telephone_number": "847-214-1324",
            "fax_number": "847-214-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N AIRLITE ST",
            "address_2": "SUITE 1A",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234965",
            "telephone_number": "847-214-1324",
            "fax_number": "847-214-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLTE DENTAL OF ELGIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "847-214-1324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019022943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.