Active NPI
Adam Christopher Szatkowski, D.D.S.
- General Practice Dentistry
- Bloomingdale, IL
National Provider Identifier
1578635843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.025840
- Practice address
- 76 Stratford Dr
Bloomingdale, IL 60108-2201 - Phone
- (630) 894-5180
- Fax
- (630) 894-1148
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 019.025840 | IL | Primary |
Addresses
Primary practice location
76 Stratford Dr
Bloomingdale, IL 60108-2201
Mailing address
76 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 394-9040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.025840 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Dentist Family, LTD. | General Practice | Current | Accepting new patients |
Locations
183 S Bloomingdale Rd
Ste 202
Bloomingdale, IL 60108
Phone (630) 894-5180
76 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 394-9040
Organizations & group practices 1
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": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1578635843",
"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",
"fax_number": "630-894-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 STRATFORD DR",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082201",
"telephone_number": "630-894-5180",
"fax_number": "630-894-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZATKOWSKI",
"first_name": "ADAM",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.025840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, 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.