Individual provider Active NPI

Sepi Dashti

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1619630480
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.033166 Issued in IL
Practice address
1954 W Foster Ave Apt 1
Chicago, IL 60640-1198
Phone
(773) 506-2033
Fax
(773) 506-6300
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 019.033166 IL Primary

Addresses

Primary practice location

1954 W Foster Ave Apt 1
Chicago, IL 60640-1198

Mailing address

205 Ridge Rd Apt 202
Wilmette, IL 60091-3273
Phone (312) 477-1309

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

LicenseStateTypeSpecialty
019.033166ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Waukegan Dental Care LLC CurrentSince Oct 24, 2021 Accepting new patients
Sigma Dental Clinic PC General Practice Current Accepting new patients

Locations

338 S Green Bay Rd
Waukegan, IL 60085
Phone (847) 336-7800

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1619630480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIDGE RD APT 202",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913273",
            "telephone_number": "312-477-1309",
            "fax_number": "773-506-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 W FOSTER AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401198",
            "telephone_number": "773-506-2033",
            "fax_number": "773-506-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASHTI",
        "first_name": "SEPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033166",
            "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 Aug 12, 2026; 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.