Active NPI
Elizabeth Escarria, D.M.D
- Dentist
- Elgin, IL
National Provider Identifier
1134433873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019028852
- Practice address
- 1185 Dundee Ave
Elgin, IL 60120 - Phone
- (847) 488-9145
- Fax
- (847) 488-9147
- NPI assigned
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1855530 | MA | |
| Dentist | 122300000X | 19184 | FL | |
| Dentist | 122300000X | 019028852 | IL | Primary |
Addresses
Primary practice location
1185 Dundee Ave
Elgin, IL 60120
Mailing address
995 Colony Lane
Hoffman Estate, IL 60192
Phone (857) 383-0822
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 Feb 8, 2016 through Feb 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19184 | FL | MD | Dentist |
| 019028852 | IL | MD | Dentist |
| 1855530 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Dental of Maplebrook, LTD. | 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.
-
- General Practice Dentistry
- Naperville, IL
- NPI 1225468572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1134433873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 COLONY LANE",
"city": "HOFFMAN ESTATE",
"state": "IL",
"postal_code": "60192",
"telephone_number": "857-383-0822",
"fax_number": "847-488-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 DUNDEE AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "60120",
"telephone_number": "847-488-9145",
"fax_number": "847-488-9147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCARRIA",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "1855530",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "19184",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019028852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.