Active NPI
Alexander Katsnelson, DMD, MS
- Oral and Maxillofacial Surgery (Dentist)
- Buffalo Grove, IL
National Provider Identifier
1982885208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 021.002389
- Practice address
- 488 Thorndale Dr
Buffalo Grove, IL 60089-6700 - Phone
- (847) 902-9922
- NPI assigned
- Nov 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.027513 | IL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 021.002389 | IL | Primary |
Addresses
Primary practice location
488 Thorndale Dr
Buffalo Grove, IL 60089-6700
Mailing address
488 Thorndale Dr
Buffalo Grove, IL 60089-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 25, 2026 through Apr 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.027513 | IL | MD | Dentist |
| 021.002389 | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
Interoperability endpoints
- akatsnelson281472@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1982885208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 THORNDALE DR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 THORNDALE DR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896700",
"telephone_number": "847-902-9922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSNELSON",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.027513",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "021.002389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.