Individual provider Active NPI

Steven J Moravec, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plainfield, IL
National Provider Identifier
1053453936
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019018695 Issued in IL
Practice address
23842 W. Main Street (Route126)
Plainfield, IL 60544
Phone
(815) 436-2959
Fax
(815) 436-0661
NPI assigned
Feb 13, 2007
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 019018695 IL Primary

Addresses

Primary practice location

23842 W. Main Street (Route126)
Plainfield, IL 60544

Mailing address

14831 W 159TH St Ste 1
Lockport, IL 60491-9008
Phone (630) 324-5369

Other practice location 1

14831 W 159th St Ste 1
Lockport, IL 60491-9008
Phone (630) 324-5369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180712000452 IL Practitioner - Dentist 8224384896 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019018695ILMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Sleep Center Richard a Craig DDS LTD Current Accepting new patients
Dental Sleep Center Richard a Craig DDS LTD CurrentSince Jun 14, 2018 Accepting new patients
Dental Sleep Center Richard a Craig DDS LTD CurrentSince Jun 14, 2018 Accepting new patients

Locations

150 E Huron St
Ste 1103
Chicago, IL 60611
Phone (312) 676-9893

14831 W 159th St
Ste 1
Lockport, IL 60491
Phone (312) 676-9893

2500 S Highland Ave
Ste 220
Lombard, IL 60148
Phone (630) 218-1920

120 Oakbrook Ctr
Ste 318
Oak Brook, IL 60523
Phone (630) 218-1920

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1053453936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14831 W 159TH ST STE 1",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604919008",
            "telephone_number": "630-324-5369",
            "fax_number": "815-744-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23842 W. MAIN STREET (ROUTE126)",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-436-2959",
            "fax_number": "815-436-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14831 W 159th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "IL",
            "postal_code": "604919008",
            "country_code": "US",
            "telephone_number": "630-324-5369",
            "fax_number": "815-744-7059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAVEC",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019018695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.