NPIMap

Organization Active NPI

Dental Experts, LLC

  • General Practice Dentistry
  • Blue Island, IL
National Provider Identifier
1154592145
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024846 Issued in IL
Legal business name
DENTAL EXPERTS, LLC
Practice address
12200 South Western Ave
Ste 108
Blue Island, IL 60406-1493
Phone
(708) 385-3700
NPI assigned
Mar 18, 2008
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Chloe Decoster
Title
Credentialing & Enrollment
Phone
(312) 274-4529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019024846 IL Primary

Addresses

Primary practice location

12200 South Western Ave
Ste 108
Blue Island, IL 60406-1493

Mailing address

12200 South Western Ave
Ste 108
Blue Island, IL 60406-1493
Phone (708) 385-3700

National Provider Directory

National Provider Directory
Tax ID family
Dental Experts LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12200 Western Ave
Ste 108
Blue Island, IL 60406
Phone (708) 385-3700

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1154592145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 SOUTH WESTERN AVE",
            "address_2": "STE 108",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061493",
            "telephone_number": "708-385-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 SOUTH WESTERN AVE",
            "address_2": "STE 108",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061493",
            "telephone_number": "708-385-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL EXPERTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "DECOSTER",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_title_or_position": "CREDENTIALING & ENROLLMENT",
        "authorized_official_telephone_number": "312-274-4529"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.