Active NPI
Nudera Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- South Elgin, IL
National Provider Identifier
1902926330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 60009337
- Legal business name
- NUDERA ORTHODONTICS
- Practice address
- 81 S. McLean Blvd., Unit B
South Elgin, IL 60177 - Phone
- (847) 760-6353
- Fax
- (847) 760-6356
- NPI assigned
- Mar 30, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James A. Nudera, DDS, MS
- Title
- Owner
- Phone
- (847) 760-6353
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 60009337 | IL | Primary |
Addresses
Primary practice location
81 S. McLean Blvd., Unit B
South Elgin, IL 60177
Mailing address
81 S. McLean Blvd., Unit B
South Elgin, IL 60177
Phone (847) 760-6353
National Provider Directory
National Provider DirectoryLocations
81 S McLean Blvd
Ste B
South Elgin, IL 60177
Phone (847) 760-6353
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- South Elgin, IL
- NPI 1689791550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902926330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 S. MCLEAN BLVD., UNIT B",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "60177",
"telephone_number": "847-760-6353",
"fax_number": "847-760-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 S. MCLEAN BLVD., UNIT B",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "60177",
"telephone_number": "847-760-6353",
"fax_number": "847-760-6356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUDERA ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NUDERA",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-760-6353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "60009337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.