NPIMap

Organization Active NPI

Ess Dental

  • Dentist
  • Chicago, IL
National Provider Identifier
1558632604
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025347 Issued in IL
Legal business name
ESS DENTAL
Practice address
10554 S Ewing Ave
#2
Chicago, IL 60617-6219
Phone
(773) 221-8200
Fax
(773) 375-4995
NPI assigned
Jan 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2012

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

Authorized official

Name
Dr. Funmi Adeleke, DDS
Title
Dentist
Phone
(773) 221-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019025347 IL Primary

Addresses

Primary practice location

10554 S Ewing Ave
#2
Chicago, IL 60617-6219

Mailing address

10554 S Ewing Ave
#2
Chicago, IL 60617-6219
Phone (773) 221-8200

National Provider Directory

National Provider Directory

Locations

10554 S Ewing Ave
#2
Chicago, IL 60617
Phone (773) 221-8200

NPI Registry JSON

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327104000000",
    "number": "1558632604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10554 S EWING AVE",
            "address_2": "#2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176219",
            "telephone_number": "773-221-8200",
            "fax_number": "773-375-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10554 S EWING AVE",
            "address_2": "#2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176219",
            "telephone_number": "773-221-8200",
            "fax_number": "773-375-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A",
        "authorized_official_last_name": "ADELEKE",
        "authorized_official_first_name": "FUNMI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-221-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.