Individual provider Active NPI

Marcia Engleman Sefcheck, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Naperville, IL
National Provider Identifier
1427329317
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021.001149 Issued in IL
Practice address
129 N Washington St
Naperville, IL 60540-4511
Phone
(630) 961-1049
Fax
(630) 961-9720
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.017289 IL
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 021.001149 IL Primary

Addresses

Primary practice location

129 N Washington St
Naperville, IL 60540-4511

Mailing address

129 N Washington St
Naperville, IL 60540-4511
Phone (630) 961-1049

Other names 1

  • Dr. Marcia Anita Engleman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.017289ILMDDentist
021.001149ILMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1427329317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404511",
            "telephone_number": "630-961-1049",
            "fax_number": "630-961-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404511",
            "telephone_number": "630-961-1049",
            "fax_number": "630-961-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEFCHECK",
        "first_name": "MARCIA",
        "middle_name": "ENGLEMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.017289",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.001149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "ENGLEMAN",
            "middle_name": "ANITA",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.