Organization Active NPI

My Dentist Family, LTD.

Doing business as Eagle Falls Dentistry

  • Dental Clinic/Center
  • Bloomingdale, IL
National Provider Identifier
1780756064
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MY DENTIST FAMILY, LTD.
Doing business as
Eagle Falls Dentistry
Essentials Dental
Practice address
76 Stratford Dr
Bloomingdale, IL 60108-2201
Phone
(630) 394-9040
Fax
(630) 894-1148
NPI assigned
Nov 14, 2006
Last updated
May 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Dr. Adam Christopher Szatkowski, D.D.S.NPI 1578635843
Title
President
Phone
(630) 394-9040

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
General Practice Dentistry 1223G0001X 019.025840 IL

Addresses

Primary practice location

76 Stratford Dr
Bloomingdale, IL 60108-2201

Mailing address

76 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 394-9040

Other practice location 1

183 S Bloomingdale Rd
suite 202
Bloomingdale, IL 60108-1466
Phone (630) 894-5180

Other names 3

  • Eagle Falls Dentistry Doing business as
  • Essentials Dental Doing business as
  • Associated Dental Care, Ltd Former legal business name

National Provider Directory

National Provider Directory

Locations

183 S Bloomingdale Rd
Ste 202
Bloomingdale, IL 60108
Phone (630) 894-5180

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1780756064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STRATFORD DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082201",
            "telephone_number": "630-394-9040",
            "fax_number": "630-894-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STRATFORD DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082201",
            "telephone_number": "630-394-9040",
            "fax_number": "630-894-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 S Bloomingdale Rd",
            "address_2": "suite 202",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601081466",
            "country_code": "US",
            "telephone_number": "630-894-5180",
            "fax_number": "630-894-1148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY DENTIST FAMILY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "SZATKOWSKI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-394-9040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.025840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Falls Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Essentials Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Associated Dental Care, Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.