Organization Active NPI

Ralph Shepstone, D.D.S.

  • General Practice Dentistry
  • Glenview, IL
National Provider Identifier
1831457639
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-020243 Issued in IL
Legal business name
RALPH SHEPSTONE, D.D.S.
Practice address
3633 West Lake Ave.
Suite 304
Glenview, IL 60026-5801
Phone
(847) 998-8989
Fax
(847) 998-8983
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Dr. Ralph Francis Shepstone, D.D.S.NPI 1295788131
Title
Health Care Provider/Owner
Phone
(847) 998-8989

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 019-020243 IL Primary

Addresses

Primary practice location

3633 West Lake Ave.
Suite 304
Glenview, IL 60026-5801

Mailing address

3633 West Lake Ave.
Suite 304
Glenview, IL 60026-5801
Phone (847) 998-8989

National Provider Directory

National Provider Directory

Locations

3633 W Lake Ave
Ste 304
Glenview, IL 60026
Phone (847) 998-8989

Practitioners & affiliated clinicians

Practitioners 1

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": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1831457639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 WEST LAKE AVE.",
            "address_2": "SUITE 304",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265801",
            "telephone_number": "847-998-8989",
            "fax_number": "847-998-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 WEST LAKE AVE.",
            "address_2": "SUITE 304",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265801",
            "telephone_number": "847-998-8989",
            "fax_number": "847-998-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH SHEPSTONE, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "SHEPSTONE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "HEALTH CARE PROVIDER/OWNER",
        "authorized_official_telephone_number": "847-998-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-020243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.