Organization Active NPI

MDP Bloomingdale PC

  • Dental Clinic/Center
  • Bloomingdale, IL
National Provider Identifier
1467026567
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on May 14, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.