Individual provider Active NPI

Stephen Esposito, DDS

  • General Practice Dentistry
  • Westmont, IL
National Provider Identifier
1497035463
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019028678 Issued in IL
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

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608002562 IL Order and Referring Only - DentistPractitioner - Dentist 0941590640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019028678ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles Unlimited CurrentSince Nov 24, 2019 Accepting new patients
Sheema Zaim DMD LTD PastSince Aug 28, 2022 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.

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

Verify at the official NPI Registry.