Active NPI
Wesley Eric Campin, D.M.D.
- General Practice Dentistry
- Highland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019026141
- Practice address
- 1770 1St St Ste 310
Highland Park, IL 60035-3236 - Phone
- (847) 432-5400
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 019026141 | IL | Primary |
Addresses
Primary practice location
1770 1St St Ste 310
Highland Park, IL 60035-3236
Mailing address
1770 1St St Ste 310
Highland Park, IL 60035-3236
Phone (847) 432-5400
Other practice location 1
4621 W 103rd St
Oak Lawn, IL 60453-4718
Phone (708) 425-2542
Other practice location 2
4905 Old Orchard Shopping Center
Suite 328
Skokie, ID 60077
Phone (847) 674-8171
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 |
|---|---|---|---|
| 019026141 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park Dental Salon Inc. | Current | Accepting new patients | |
| Chicago Dental Salon, P.C. | General Practice | Current | Accepting new patients |
| Westmont Dental Salon, P.C. | General Practice | Current | Accepting new patients |
| Dr.S Schreiber and Fenchel, LTD | Past | Accepting new patients |
Locations
10004 S Kedzie Ave
Evergreen Park, IL 60805
Phone (708) 425-2542
1770 1st St
Ste 310
Highland Park, IL 60035
Phone (847) 432-5400
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Evergreen Park, IL
- NPI 1801150610
-
- Dental Clinic/Center
- Highland Park, IL
- NPI 1518687847
-
- General Practice Dentistry
- Westmont, IL
- NPI 1497019301
-
- Dentist
- Highland Park, IL
- NPI 1801014873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1689707325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 1ST ST STE 310",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353236",
"telephone_number": "847-432-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 1ST ST STE 310",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353236",
"telephone_number": "847-432-5400"
}
],
"practiceLocations": [
{
"address_1": "4621 W 103rd St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604534718",
"country_code": "US",
"telephone_number": "708-425-2542",
"fax_number": "708-425-2712",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4905 Old Orchard Shopping Center",
"address_2": "Suite 328",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "ID",
"postal_code": "60077",
"country_code": "US",
"telephone_number": "847-674-8171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPIN",
"first_name": "WESLEY",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2022-08-25",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019026141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.