Individual provider Active NPI

Nadeem S Esmail, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Bellingham, WA
National Provider Identifier
1003915075
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
021.002733 Issued in IL
Practice address
3136 Squalicum Pkwy Ste B
Bellingham, WA 98225-1955
Phone
(360) 671-4859
NPI assigned
Sep 22, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21993 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 021.002733 IL Primary

Addresses

Primary practice location

3136 Squalicum Pkwy Ste B
Bellingham, WA 98225-1955

Mailing address

3136 Squalicum Pkwy Ste B
Bellingham, WA 98225-1955
Phone (360) 671-4859

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 16, 2015 through Oct 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21993TXMDGeneral Practice Dentistry
021.002733ILMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
3 Suns Investment Inc PastSince Sep 21, 2025 Accepting new patients
Fredrick W Wicknick DMD Inc PS Oral and Maxillofacial Surgery PastSince Sep 21, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1003915075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 SQUALICUM PKWY STE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251955",
            "telephone_number": "360-671-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 SQUALICUM PKWY STE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251955",
            "telephone_number": "360-671-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMAIL",
        "first_name": "NADEEM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21993",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021.002733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.