Active NPI
Norman L. Eskoz, D.D.S.
- Endodontics
- McHenry, IL
National Provider Identifier
1124116470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Practice address
- 5400 W Elm St
Suite 210
McHenry, IL 60050-4010 - Phone
- (815) 385-9620
- Fax
- (815) 385-9643
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | IL | Primary |
Addresses
Primary practice location
5400 W Elm St
Suite 210
McHenry, IL 60050-4010
Mailing address
5400 W Elm St
Suite 210
McHenry, IL 60050-4010
Phone (815) 385-9620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 14, 2017 through Nov 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021001549 | IL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McHenry Dental Specialists LLC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124116470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 W ELM ST",
"address_2": "SUITE 210",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600504010",
"telephone_number": "815-385-9620",
"fax_number": "815-385-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 W ELM ST",
"address_2": "SUITE 210",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600504010",
"telephone_number": "815-385-9620",
"fax_number": "815-385-9643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESKOZ",
"first_name": "NORMAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.