Individual provider Active NPI

Sean Michael McGuire

  • Pediatric Dentistry
  • Orland Park, IL
National Provider Identifier
1245736610
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
019.033573 Issued in IL
Practice address
10759 Winterset Dr
Orland Park, IL 60467-1106
Phone
(309) 230-8344
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 019.033573 IL Primary
Pediatric Dentistry 1223P0221X 12014309A IN

Addresses

Primary practice location

10759 Winterset Dr
Orland Park, IL 60467-1106

Mailing address

76 Long Cove Dr
Lemont, IL 60439-7730
Phone (309) 230-8344

Other practice location 1

8217 Wicker Ave
Saint John, IN 46373-8878
Phone (219) 440-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200417001588 OR Order and Referring Only - DentistPractitioner - Dentist 2961832720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36119TXMDPsychologist
019.033573IDMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1245736610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 LONG COVE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604397730",
            "telephone_number": "309-230-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10759 WINTERSET DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671106",
            "telephone_number": "309-230-8344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8217 Wicker Ave",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463738878",
            "country_code": "US",
            "telephone_number": "219-440-1710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019.033573",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12014309A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.