John E. Costello, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19-A-12900 Issued in IL

Practice address

1640 N Arlington Heights Rd
Suite 201
Arlington Heights, IL 60004-3985

Phone

(847) 259-1111

NPI assigned

Jul 8, 2008

Last updated

Nov 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 20, 2015 through Aug 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mt. Prospect Dental Excellence, LTD

  • Clinic/Center
  • Arlington Heights, IL
  • NPI 1952452047
  Authorized official Same address or phone

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1689837825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 SUMMER ISLE LN",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600105414",
            "telephone_number": "847-259-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 201",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043985",
            "telephone_number": "847-259-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "JOHN",
        "middle_name": "E.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "23412-875",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19-A-12900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrective Chiropractic Center, LTD
• Allison Claire Corro, P.A.
• Elizabeth Cortez
• Cosmopolitan Health Care Services SC
• Ernest L. Costello, D.D.S.
• Kathryn Costello
• Dennis Costis, DDS
• Kylie Cotten
• Amber Cotter, BSW
• Margaret Alicia Couch, LCSW

• Dentist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.