Individual provider Active NPI

Wesley Eric Campin, D.M.D.

  • General Practice Dentistry
  • Highland Park, IL
National Provider Identifier
1689707325
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026141 Issued in IL
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

Updated by the provider on Aug 25, 2022

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 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

LicenseStateTypeSpecialty
019026141ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Park Dental Salon Inc. CurrentSince Sep 4, 2022 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 PastSince Aug 28, 2022 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.

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.

Verify at the official NPI Registry.