Organization Active NPI

Esd Glendale Heights, PC

  • Dental Clinic/Center
  • Glendale Heights, IL
National Provider Identifier
1477145167
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ESD GLENDALE HEIGHTS, PC
Practice address
2161 Bloomingdale Rd
Glendale Heights, IL 60139-1679
Phone
(630) 893-1300
NPI assigned
Feb 4, 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 Christopher Szatkowski, DDS
Title
Owner
Phone
(630) 394-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2161 Bloomingdale Rd
Glendale Heights, IL 60139-1679

Mailing address

76 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 394-9040

Other names 1

  • Essentials Dental - Glendale Heights Doing business as

National Provider Directory

National Provider Directory

Locations

2161 Bloomingdale Rd
Glendale Hts, IL 60139
Phone (630) 894-8600

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1477145167",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 BLOOMINGDALE RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391679",
            "telephone_number": "630-893-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESD GLENDALE HEIGHTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "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": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "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": "Essentials Dental - Glendale Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale Heights, 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.