Active NPI
Shahen Yashpal, H.BSC, MSC., DDS
- Endodontics
- South Barrington, IL
National Provider Identifier
1013602697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 021.003542
- Practice address
- 2 Executive CT # 102
South Barrington, IL 60010-9507 - Phone
- (847) 277-9911
- NPI assigned
- Apr 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 021.003542 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 019.035000 | IL |
Addresses
Primary practice location
2 Executive CT # 102
South Barrington, IL 60010-9507
Mailing address
30 E Elm St Apt 10D
Chicago, IL 60611-1057
Phone (646) 371-2960
Other practice location 1
801 S Paulina St
Chicago, IL 60612-7210
Phone (646) 371-2960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.035000 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1013602697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E ELM ST APT 10D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606111057",
"telephone_number": "646-371-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EXECUTIVE CT # 102",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109507",
"telephone_number": "847-277-9911"
}
],
"practiceLocations": [
{
"address_1": "801 S Paulina St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127210",
"country_code": "US",
"telephone_number": "646-371-2960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YASHPAL",
"first_name": "SHAHEN",
"name_prefix": "Dr.",
"credential": "H.BSC, MSC., DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": "021.003542",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.035000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.