ELITE PERIODONTICS PC (NPI# 1528303484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528303484 |
| Entity Type | Organization |
| Organization Name | ELITE PERIODONTICS PC |
| Practice Address |
2124 Ogden Ave Suite 104 Aurora IL 60504-7514 |
| Practice Telephone | 6305856100 |
| Practice Fax Number | 6305856107 |
| Mailing Telephone | 6305856100 |
| Mailing Fax Number | 6305856107 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |
| Authorized Official Name | DR. SONIA BELANI (PERIODONTIST) |
| Authorized Official Telephone | 6304523194 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
019027902 | IL | Dental Providers |
| Street Address |
2124 OGDEN AVE SUITE 104 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356481899 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 2124 Ogden Ave, Aurora, IL 60504-7595 | 2007-02-07 |
| 1699270132 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 2124 Ogden Ave, Aurora, IL 60504-7514 | 2018-03-27 |
| 1982111407 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 2124 Ogden Ave, Aurora, IL 60504-7514 | 2018-01-05 |
| 1831627520 | Lauren Helen Fischer | Physical Therapist | 2124 Ogden Ave, Aurora, IL 60504-7514 | 2017-05-25 |
| 1801332309 | Jennifer Mccarthy | Physical Therapist | 2124 Ogden Ave, Aurora, IL 60504-7514 | 2017-01-09 |
| 1417337825 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 2124 Ogden Ave, Suite 101, Aurora, IL 60504-7514 | 2015-06-02 |
| 1942689062 | Elite Dental Specialists | Dentist | 2124 Ogden Ave, Suite 104, Aurora, IL 60504-7514 | 2015-05-21 |
| 1750712980 | Alise Svoboda | Physical Therapy Assistant | 2124 Ogden Ave, Suite 102, Aurora, IL 60504-7514 | 2013-12-13 |
| 1154628642 | Wcs Occupational Rehabilitation & Sports Medicine, Inc. | Specialist | 2124 Ogden Ave, Suite 102, Aurora, IL 60504-7514 | 2011-02-17 |
| 1053637553 | Aurora Dentrix PC | Dentist | 2124 Ogden Ave, Aurora, IL 60504-7514 | 2010-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457656159 | Randolph Scott Ziegler | Dentist | 13065 E 17th Ave Ste F847, Room 130, Aurora, CO 80045-2534 | 2011-01-11 |
| 1891927307 | Jonathan Charles Boynton | Dentist | 13065 E 17th Ave Rm 111, Aurora, CO 80045-2532 | 2009-08-17 |
| 1477604478 | Robert John Denny | Dentist | 14001 E. Iliff Ave., Ste. 104, Aurora, CO 80014-1424 | 2007-01-16 |
| 1962580340 | Robert M Pick | Dentist | 95 Trade St, #104, Aurora, IL 60504 | 2006-11-01 |
| 1255305116 | Charles Anthony Powell | Dentist | 13065 E 17th Ave Rm 130k, Mail Stop F847, Aurora, CO 80045-2532 | 2006-02-15 |
| 1508837410 | Lonnie Johnson | Dentist | 1635 Ursula St, Aurora, CO 80010-7402 | 2006-01-30 |
| 1316396518 | Grand Dental Associates, P.C. | Dentist | 1780 N Farnsworth Ave, Aurora, IL 60505-1576 | 2016-06-08 |
| 1689029761 | Lauren Metzger | Dentist | 13065 E 17th Ave, Mail Stop F-850, Room 111, Aurora, CO 80045-2532 | 2016-04-26 |
| 1982006763 | Chacon Dental Group | Dentist | 3535 E New York St, Aurora, IL 60504-4465 | 2014-09-23 |
| 1356519540 | Pinelopi Xenoudi | Dentist | 13065 E 17th Ave, University of Colorado, School of Dental Medicine, Aurora, CO 80045-2532 | 2008-02-11 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.