Active NPI
Oksana Semeny, DDS
- General Practice Dentistry
- Prospect Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-026015
- Practice address
- 5 E Camp McDonald Rd
Prospect Heights, IL 60070-1527 - Phone
- (847) 818-9250
- Fax
- (847) 818-9239
- NPI assigned
- Nov 25, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-026015 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780122465 | Medicaid | IL |
Other names 1
- Oksana Guterzon
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-026015 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O Semeny DDS LTD | General Practice | Current | Accepting new patients |
| O Guterzon DDS LTD | General Practice | Current | Accepting new patients |
Locations
15 E Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 229-1700
2806 W Devon Ave
Chicago, IL 60659
Phone (773) 973-1100
5 E Camp McDonald Rd
Prospect Heights, IL 60070
Phone (847) 818-9250
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Prospect Heights, IL
- NPI 1780122465
-
- General Practice Dentistry
- Chicago, IL
- NPI 1942516067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1952384778",
"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",
"fax_number": "847-818-9239"
},
{
"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",
"fax_number": "847-229-1737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEMENY",
"first_name": "OKSANA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-25",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-026015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780122465",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "OKSANA",
"last_name": "GUTERZON",
"code": "1",
"type": "Former Name"
}
]
}
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.