Active NPI
Louis A Whitesman, DDS MS
- Dentist
- Chicago, IL
National Provider Identifier
1861650152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019026746
- Practice address
- 6020 W Diversey Ave
Chicago, IL 60639-1108 - Phone
- (773) 237-0707
- NPI assigned
- May 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019026746 | IL | Primary |
Addresses
Primary practice location
6020 W Diversey Ave
Chicago, IL 60639-1108
Mailing address
1 W Superior St
Unit 2607
Chicago, IL 60654-8803
Phone (734) 709-1363
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019026746 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Suburban Orthodontics, LTD | Past | Accepting new patients | |
| North Suburban Orthodontics, LTD | Dentist | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Dentist
- Grayslake, IL
- NPI 1497185276
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- South Holland, IL
- NPI 1093146342
-
- Dentist
- Oak Lawn, IL
- NPI 1215371505
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chicago, IL
- NPI 1710215611
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chicago, IL
- NPI 1922442086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1861650152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W SUPERIOR ST",
"address_2": "UNIT 2607",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606548803",
"telephone_number": "734-709-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 W DIVERSEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606391108",
"telephone_number": "773-237-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESMAN",
"first_name": "LOUIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-23",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019026746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.