Organization Active NPI

Northbrook Family Dental PLLC

  • General Practice Dentistry
  • Northbrook, IL
National Provider Identifier
1942147962
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTHBROOK FAMILY DENTAL PLLC
Practice address
1873 Shermer Rd
Northbrook, IL 60062-5300
Phone
(847) 498-5970
NPI assigned
Apr 29, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Dr. Christian X Caicedo Moreno, DMDNPI 1306407812
Title
Dentist
Phone
(813) 598-8638

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1873 Shermer Rd
Northbrook, IL 60062-5300

Mailing address

1873 Shermer Rd
Northbrook, IL 60062-5300
Phone (847) 498-5970

National Provider Directory

National Provider Directory

Locations

1873 Shermer Rd
Northbrook, IL 60062
Phone (847) 480-7670

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1942147962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625300",
            "telephone_number": "847-498-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625300",
            "telephone_number": "847-498-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBROOK FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "CAICEDO MORENO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-598-8638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.