Organization Active NPI

Dental Club Hoffman Estates P.C.

  • General Practice Dentistry
  • St Charles, IL
National Provider Identifier
1376499509
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL CLUB HOFFMAN ESTATES P.C.
Practice address
3381 W Main St Ste 3
St Charles, IL 60175-1008
Phone
(630) 593-7772
NPI assigned
Mar 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Mr. John Sellers
Title
Ceif Operations Officer
Phone
(224) 838-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3381 W Main St Ste 3
St Charles, IL 60175-1008

Mailing address

3N723 James Fenimore Cooper LN
St Charles, IL 60175-6572
Phone (224) 828-0400

National Provider Directory

National Provider Directory

Locations

3381 W Main St
Ste 3
St Charles, IL 60175
Phone (630) 513-2121

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": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1376499509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3N723 JAMES FENIMORE COOPER LN",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756572",
            "telephone_number": "224-828-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 W MAIN ST STE 3",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751008",
            "telephone_number": "630-593-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CLUB HOFFMAN ESTATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEIF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "224-838-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.