Jacqueline Marie Hassenplug, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033300 Issued in IL

Practice address

603 E Irving Park Rd
Roselle, IL 60172-2302

Phone

(630) 893-4200

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 28, 2023 through Jul 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jhassenplug19900@direct.midwestern.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacqueline M Hassenplug DMD, PC

  dba Smile Haven Dental Studio

  • Dental Clinic/Center
  • St Charles, IL
  • NPI 1649014234
  NPD Authorized official
• Roselle Dental Center PC

  • Dentist
  • Roselle, IL
  • NPI 1518964402
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1508438185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 CLARE DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601088809",
            "telephone_number": "630-743-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722302",
            "telephone_number": "630-893-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSENPLUG",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Lynn Gunnells, ATC
• Samantha Nicole Hamilton, M.S. CF-SLP
• Siri E Hansen, LCPC
• Harjinder Khaira D.M.D. & Associates PC
• Syed S Hashmi
• Joan M Hilby, PSY.D
• Christopher Ho, PHARMD
• Zoey Marie Hornstein, LSW, CADC
• Noor Fatima Husain, M.D.
• Atha Ali Hyderi, O.D

• General Practice Dentistry in Roselle, IL
• Providers in Roselle, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.