Matthew Lupsan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.034201 Issued in IL

Practice address

2821 Grand Ave
Waukegan, IL 60085-2372

Phone

(847) 662-4400

NPI assigned

Oct 10, 2022

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Viento Dental

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1417877721
  NPD (past) Authorized official
• Dental Experts, LLC

  • General Practice Dentistry
  • Waukegan, IL
  • NPI 1245487792
  NPD (past)
• Dental Experts, LLC

  • General Practice Dentistry
  • Melrose Park, IL
  • NPI 1780855775
  NPD (past)

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1619692811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852372",
            "telephone_number": "847-662-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPSAN",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lucas, BA JUSTICE STUDIES
• Lucy'S Home Care Express, Inc
• Elaine N Luera
• Calvin Lufkin
• Samantha Lullo
• Kim Ladell Luster
• Todora Kay Lux I
• Luxottica of America Inc.
• Jennifer Luzentales, APN-FNP
• Senator Lynch

• General Practice Dentistry in Waukegan, IL
• Providers in Waukegan, 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 17, 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.