Active NPI
Essentials Dental Practice LLC
- Dental Clinic/Center
- Bloomingdale, IL
National Provider Identifier
1275163685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Bloomingdale, IL
- NPI 1588972228
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.