Individual provider Active NPI

Kelsey Esposito, DMD

  • General Practice Dentistry
  • Glen Ellyn, IL
National Provider Identifier
1194241000
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019031211 Issued in IL
Practice address
550 Pennsylvania Ave Ste 1W
Glen Ellyn, IL 60137-4170
Phone
(630) 469-5545
Fax
(630) 469-5589
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019031211 IL Primary

Addresses

Primary practice location

550 Pennsylvania Ave Ste 1W
Glen Ellyn, IL 60137-4170

Mailing address

550 Pennsylvania Ave
Glen Ellyn, IL 60137-8303
Phone (630) 469-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019031211ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
West Suburban Oral Health Care CurrentSince Feb 19, 2023 Accepting new patients

Locations

380 W Diehl Rd
Naperville, IL 60563
Phone (630) 393-3045

3S517 Winfield Rd
Ste B
Warrenville, IL 60555

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1194241000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PENNSYLVANIA AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601378303",
            "telephone_number": "630-469-5545",
            "fax_number": "630-469-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PENNSYLVANIA AVE STE 1W",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374170",
            "telephone_number": "630-469-5545",
            "fax_number": "630-469-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.