NPIMap

Organization Active NPI

O Semeny DDS LTD

  • General Practice Dentistry
  • Prospect Heights, IL
National Provider Identifier
1780122465
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026015 Issued in IL
Legal business name
O SEMENY DDS LTD
Practice address
5 E Camp McDonald Rd
Prospect Heights, IL 60070-1527
Phone
(847) 818-9250
Fax
(847) 818-9239
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Oksana SemenyNPI 1952384778
Title
DDS
Phone
(773) 875-6195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019026015 IL Primary

Addresses

Primary practice location

5 E Camp McDonald Rd
Prospect Heights, IL 60070-1527

Mailing address

5 E Camp McDonald Rd
Prospect Heights, IL 60070-1527
Phone (847) 818-9250

Other practice location 1

15 E Dundee Rd
Buffalo Grove, IL 60089-4383
Phone (847) 229-1700

Other identifiers 1

IdentifierTypeStateIssuer
1780122465MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
O Guterzon DDS LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5 E Camp McDonald Rd
Prospect Heights, IL 60070
Phone (847) 818-9250

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1780122465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E CAMP MCDONALD RD",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600701527",
            "telephone_number": "847-818-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E CAMP MCDONALD RD",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600701527",
            "telephone_number": "847-818-9250",
            "fax_number": "847-818-9239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 E Dundee Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600894383",
            "country_code": "US",
            "telephone_number": "847-229-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "O SEMENY DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "SEMENY",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "773-875-6195"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780122465",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.