NPIMap

Organization Active NPI

Joseph R Ceisel DDS PC

  • Dental Clinic/Center
  • Wilmette, IL
National Provider Identifier
1407489446
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSEPH R CEISEL DDS PC
Practice address
423 4TH St
Wilmette, IL 60091-2826
Phone
(847) 421-3181
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Dr. Joseph R Ceisel, DDSNPI 1164687265
Title
Owner
Phone
(847) 256-4270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

423 4TH St
Wilmette, IL 60091-2826

Mailing address

423 4TH St
Wilmette, IL 60091-2826
Phone (847) 421-3181

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joeceiseldds@outlook.com Direct

National Provider Directory

National Provider Directory

Locations

423 4th St
Wilmette, IL 60091
Phone (847) 256-4270

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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1407489446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 4TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912826",
            "telephone_number": "847-421-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 4TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912826",
            "telephone_number": "847-421-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R CEISEL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "CEISEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-256-4270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joeceiseldds@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3020 Wilmette Ave",
            "city": "Wilmette",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600912138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.