Active NPI
Sharon Szeszycki
- Dentist
- Lombard, IL
National Provider Identifier
1881808236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019018256
- Practice address
- 845 S Main St Ste 303
Lombard, IL 60148-3350 - Phone
- (630) 627-0899
- Fax
- (630) 627-0935
- NPI assigned
- May 9, 2007
- Sex
- Female
- 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 | 019018256 | IL | Primary |
Addresses
Primary practice location
845 S Main St Ste 303
Lombard, IL 60148-3350
Mailing address
45 S Park Blvd Ste 190
Glen Ellyn, IL 60137-6282
Phone (630) 469-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140924000346 | IL | Order and Referring Only - Oral Surgery | 3577782515 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019018256 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharon Szeszycki DDS & Michael a Cerone DDS LTD | Dentist | Past | Accepting new patients |
| Park Blvd Dentistry | Dentist | Past | Accepting new patients |
| Paul Doodes DDS PHD PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Glen Ellyn, IL
- NPI 1194178111
-
- Dental Clinic/Center
- Glen Ellyn, IL
- NPI 1285232827
-
- Dentist
- Lombard, IL
- NPI 1194890400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1881808236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 S PARK BLVD STE 190",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376282",
"telephone_number": "630-469-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 S MAIN ST STE 303",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601483350",
"telephone_number": "630-627-0899",
"fax_number": "630-627-0935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZESZYCKI",
"first_name": "SHARON",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019018256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.