Organization Active NPI

Essentials Dental Practice LLC

  • Dental Clinic/Center
  • Bloomingdale, IL
National Provider Identifier
1275163685
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ESSENTIALS DENTAL PRACTICE LLC
Practice address
183 S Bloomingdale Rd
Bloomingdale, IL 60108-1466
Phone
(630) 893-1300
Fax
(630) 894-1148
NPI assigned
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Adam Christopher Szatkowski, DDS
Title
Owner
Phone
(630) 893-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

183 S Bloomingdale Rd
Bloomingdale, IL 60108-1466

Mailing address

76 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-1300

Other practice location 1

2161 Bloomingdale Rd
Glendale Heights, IL 60139-1679
Phone (630) 893-1300

Other names 1

  • Essentials Dental Doing business as

National Provider Directory

National Provider Directory

Locations

183 S Bloomingdale Rd
Bloomingdale, IL 60108
Phone (630) 893-1300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1275163685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STRATFORD DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082201",
            "telephone_number": "630-893-1300",
            "fax_number": "630-894-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081466",
            "telephone_number": "630-893-1300",
            "fax_number": "630-894-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2161 Bloomingdale Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale Heights",
            "state": "IL",
            "postal_code": "601391679",
            "country_code": "US",
            "telephone_number": "630-893-1300",
            "fax_number": "630-894-1148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESSENTIALS DENTAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "SZATKOWSKI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-893-1300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essentials Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.