NPIMap

Organization Active NPI

Shameema Essof

  • Dentist
  • Calumet Park, IL
National Provider Identifier
1306010285
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHAMEEMA ESSOF
Practice address
1328 W 127TH St
Calumet Park, IL 60827-6129
Phone
(708) 597-3131
Fax
(708) 597-1230
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Shameema EssofNPI 1881766343
Title
Owner
Phone
(708) 597-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1328 W 127TH St
Calumet Park, IL 60827-6129

Mailing address

1328 W 127TH St
Calumet Park, IL 60827-6129
Phone (708) 597-3131

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1306010285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 W 127TH ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276129",
            "telephone_number": "708-597-3131",
            "fax_number": "708-597-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 W 127TH ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608276129",
            "telephone_number": "708-597-3131",
            "fax_number": "708-597-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMEEMA ESSOF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "ESSOF",
        "authorized_official_first_name": "SHAMEEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-597-3131",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.