Individual provider Active NPI

Esam Jumani, D.D.S

  • Dentist
  • Addison, IL
National Provider Identifier
1093124190
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.029987 Issued in IL
Practice address
200 W Lake St
Addison, IL 60101-2513
Phone
(630) 628-3115
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.029987 IL Primary

Addresses

Primary practice location

200 W Lake St
Addison, IL 60101-2513

Mailing address

400 N McClurg CT
Apt 2215
Chicago, IL 60611-4323
Phone (917) 544-1626

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
I20150611001434 IL Order and Referring Only - DentistPractitioner - Dentist 4587985817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.029987ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Artistic Family Dental Schererville PC Current Accepting new patients
Artistic Family Dental - Highland Corporation Past Accepting new patients
Esam Jumani D.D.S.,P.C. Dentist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1093124190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MCCLURG CT",
            "address_2": "APT 2215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114323",
            "telephone_number": "917-544-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012513",
            "telephone_number": "630-628-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMANI",
        "first_name": "ESAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.