Active NPI
MDP Bloomingdale PC
- Dental Clinic/Center
- Bloomingdale, IL
National Provider Identifier
1467026567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MDP BLOOMINGDALE PC
- Doing business as
- McElroy Pediatric Dentistry
- Practice address
- 231 S Gary Ave Ste 105
Bloomingdale, IL 60108-2227 - Phone
- (630) 351-4440
- NPI assigned
- May 14, 2021
- 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 C Szatkowski, DDS
- Title
- President
- Phone
- (630) 394-9040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
231 S Gary Ave Ste 105
Bloomingdale, IL 60108-2227
Mailing address
76 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 394-9040
Other names 1
- McElroy Pediatric Dentistry
National Provider Directory
National Provider DirectoryLocations
76 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 394-9040
231 S Gary Ave
Ste 105
Bloomingdale, IL 60108
Phone (630) 351-4440
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Bloomingdale, IL
- NPI 1770703514
-
- Pediatric Dentistry
- Bloomingdale, IL
- NPI 1598723892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1467026567",
"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": "630-394-9040",
"fax_number": "630-894-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 S GARY AVE STE 105",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082227",
"telephone_number": "630-351-4440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDP BLOOMINGDALE PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "SZATKOWSKI",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-394-9040",
"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": "McElroy Pediatric Dentistry",
"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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.