Jessica Kathryn Sargeson

Primary specialty

DentistTaxonomy code 122300000X

License

019032369 Issued in IL

Practice address

12200 Western Ave Ste 108
Blue Island, IL 60406-1493

Phone

(708) 385-3700

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

No

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

• Dental Experts, LLC

  • General Practice Dentistry
  • Blue Island, IL
  • NPI 1154592145
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (1 of 2)

Networks

• IL HMO C-SNP

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2019.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1013579226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N CLARK ST STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544782",
            "telephone_number": "312-274-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WESTERN AVE STE 108",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061493",
            "telephone_number": "708-385-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGESON",
        "first_name": "JESSICA",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra F Salcedo
• Maricsa Sanchez
• Varsovia Santoliva, D.C.
• Louise Sarabia, DDS
• Kristen Sardin
• Shannan Kathleen Sarpy, COTA/L
• Sasha'S Home Care
• Sasha'S Home Care
• April Sayavong
• Jacqueline Scarborough Aikerson

• All providers in Blue Island, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.