ACDI - NAPERVILLE, LLC. — NPI 1780850131 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in NAPERVILLE, IL)

CMS-1500 Box 24J / 33a • NPI

1780850131

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

1223G0001X (CMS C5)

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

1288 RICKERT DR, SUITE #200, NAPERVILLE, IL, 60540-0951

✓ 9-Digit EDI 837 ZIP+4 (60540-0951)

Practice Phone & Referral Fax

(630) 717-9999

Fax: (630) 718-9998

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1780850131 (ACDI - NAPERVILLE, LLC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1780850131` (NPI-2 Organization / Facility)
Provider / Legal Name	ACDI - NAPERVILLE, LLC.
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `1223G0001X` (Dentist, General Practice)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	1288 RICKERT DR, SUITE #200, NAPERVILLE, IL, 60540-0951
Practice Telephone / Fax	Tel: (630) 717-9999 \| Fax: (630) 718-9998
Administrative Mailing Address	1288 RICKERT DR, NAPERVILLE, IL, 60540-0951
Enumeration & Last Sync	Enumerated: 2008-05-06 \| CMS Record Updated: 2009-08-07
Authorized Official	ZUZANA VITKOVA (Chief Financial Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1288 RICKERT DR, SUITE #200, NAPERVILLE, IL, 60540-0951

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Plain-English Taxonomy & CMS Crosswalk (1223G0001X)

What Does Taxonomy Code 1223G0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223G0001X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C5 (Dentist)
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACDI - NAPERVILLE, LLC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1223G0001X` — Dentist, General Practice Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: IL \| License: `019013583` \| Primary: Secondary
`1223G0001X` — Dentist, General Practice Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: IL \| License: `019027311` \| Primary: Secondary
`1223G0001X` — Dentist, General Practice Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: IL \| License: `019.026414` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ACDI - NAPERVILLE, LLC. (NPI #1780850131)