Stephen Patterson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019032566 Issued in IL

Practice address

1030 Summit St
Elgin, IL 60120-4371

Phone

(847) 888-8282

NPI assigned

Mar 25, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• BDD of Illinois P.C.

  dba Elgin Dental Associates

  • Dentist
  • Elgin, IL
  • NPI 1376214346
  NPD
• BDD of Illinois P.C.

  dba AH Smiles

  • General Practice Dentistry
  • Arlington Heights, IL
  • NPI 1063183044
  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1043847403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204371",
            "telephone_number": "847-888-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 S Roselle Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601933960",
            "country_code": "US",
            "telephone_number": "847-301-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "STEPHEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Patenaude
• Patrick Chiropractic Services P.C.
• Patrick Health and Wellness Inc.
• Dean Thomas Patrick, DC
• Edwin Paul Patrick, DC
• Latonya Rochelle Patton, LPN
• Taylor Patz
• Paul L. Engen DDS PC
• Dana Marie Pauley
• Melissa Pazen, MSW

• Dentist in Elgin, IL
• Providers in Elgin, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.