Active NPI
Stephen Esposito, DDS
- General Practice Dentistry
- Westmont, IL
National Provider Identifier
1497035463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019028678
- Practice address
- 19 N Cass Ave
Westmont, IL 60559-1601 - Phone
- (630) 969-1901
- NPI assigned
- Aug 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019028678 | IL | Primary |
Addresses
Primary practice location
19 N Cass Ave
Westmont, IL 60559-1601
Mailing address
19 N Cass Ave
Westmont, IL 60559-1601
Phone (630) 969-1901
Other practice location 1
7120 Roosevelt Rd
Oak Park, IL 60304-1809
Phone (708) 524-0555
Other practice location 2
2127 Green Bay Rd
North Chicago, IL 60064-2801
Phone (847) 689-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160608002562 | IL | Order and Referring Only - Dentist | 0941590640 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019028678 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiles Unlimited | Current | Accepting new patients | |
| Sheema Zaim DMD LTD | Past | Accepting new patients |
Locations
19 N Cass Ave
Westmont, IL 60559
Phone (630) 390-4971
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Westmont, IL
- NPI 1568008217
-
- Dental Clinic/Center
- Oak Park, IL
- NPI 1881312056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1497035463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 N CASS AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591601",
"telephone_number": "630-969-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 N CASS AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591601",
"telephone_number": "630-969-1901"
}
],
"practiceLocations": [
{
"address_1": "7120 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603041809",
"country_code": "US",
"telephone_number": "708-524-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2127 Green Bay Rd",
"address_purpose": "LOCATION",
"city": "North Chicago",
"state": "IL",
"postal_code": "600642801",
"country_code": "US",
"telephone_number": "847-689-3800",
"fax_number": "847-689-0191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPOSITO",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-23",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019028678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.