Active NPI
Alexandra M Bialy, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Schaumburg, IL
National Provider Identifier
1902816580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 021002037(19025777)
- Practice address
- 1375 E Schaumburg Rd
Suite 330
Schaumburg, IL 60194-5166 - Phone
- (847) 985-9322
- Fax
- (847) 985-9503
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 021002037(19025777) | IL | Primary |
Addresses
Primary practice location
1375 E Schaumburg Rd
Suite 330
Schaumburg, IL 60194-5166
Mailing address
320 Jennifer LN
Roselle, IL 60172
Phone (847) 987-4501
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021002037(19025777) | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902816580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 JENNIFER LN",
"city": "ROSELLE",
"state": "IL",
"postal_code": "60172",
"telephone_number": "847-987-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 E SCHAUMBURG RD",
"address_2": "SUITE 330",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601945166",
"telephone_number": "847-985-9322",
"fax_number": "847-985-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIALY",
"first_name": "ALEXANDRA",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "021002037(19025777)",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, 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.