Individual provider

Nadine Brodala, DDS, MS, DMD

Dentist Periodontics Medicare enrolled

Nadine Brodala, DDS, MS, DMD is a provider specialising in Dentist in Chicago, IL, registered under NPI 1417005109. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 25 E WASHINGTON ST 1125, Chicago, IL 60602. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

25 E WASHINGTON ST 1125, Chicago, IL 60602 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
019028809 IL Dentist primary
0048 NC Periodontics
DE9503 WA Periodontics

Licences are recorded in 3 states: IL, NC, WA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Oral Surgery
PAC ID
2365624897

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Oral Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Illinois, North Carolina and Washington. The practice address on file is in Chicago, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois practice address
Licence
019028809
Specialty
Dentist
Verify with the IL board →
NC North Carolina
Licence
0048
Specialty
Periodontics
Verify with the NC board →
WA Washington
Licence
DE9503
Specialty
Periodontics
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Dentist covers

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. NUCC Health Care Provider Taxonomy, code 122300000X
Dental Providers Dentist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
122300000X Dentist 019028809 IL primary
1223P0300X Periodontics Periodontics 0048 NC
1223P0300X Periodontics Periodontics DE9503 WA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417005109 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 8, 2007
Last updatedAug 19, 2011
StatusActive
Sole proprietorNo
CredentialDDS, MS, DMD
Practice address 25 E WASHINGTON ST
1125
Chicago, IL 60602
(312) 641-2572
This record was last updated on Aug 19, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1417005109 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 0 0 5 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 0 0 1 1 0

Sum = 41 · next multiple of 10 = 50 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417005109?
NPI 1417005109 is the National Provider Identifier assigned to Nadine Brodala, DDS, MS, DMD in Chicago, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dentist cover?
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have…
How do I contact Nadine Brodala, DDS, MS, DMD?
The phone number on file with NPPES is (312) 641-2572, last updated Aug 19, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Nadine Brodala, DDS, MS, DMD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417005109 a valid number?
Yes. 1417005109 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.