Mt. Prospect Dental Excellence, LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

19A12900 Issued in IL

Legal business name

MT. PROSPECT DENTAL EXCELLENCE, LTD

Practice address

1640 N. Arlington Heights Rd.
Suite 201
Arlington Heights, IL 60004

Phone

(847) 259-1111

Fax

(847) 259-2222

NPI assigned

Jan 15, 2007

Last updated

Sep 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John E. Costello, D.D.S.NPI 1689837825

Title

Dentist/Owner

Phone

(847) 259-1111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• John E. Costello, DDS

  • Dentist
  • Arlington Heights, IL
  • NPI 1689837825
  Authorized official Same address or phone

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1952452047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 N. ARLINGTON HEIGHTS RD.",
            "address_2": "SUITE 201",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-259-1111",
            "fax_number": "847-259-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N. ARLINGTON HEIGHTS RD.",
            "address_2": "SUITE 201",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-259-1111",
            "fax_number": "847-259-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PROSPECT DENTAL EXCELLENCE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "847-259-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "19A12900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Move It Physical Therapy Inc.
• David Moy, M.D.
• Pian Pian Moy, NP
• MRK Healing LLC
• Mt. Prospect Dental Center, LTD
• Sheri A Mueller
• Muhammad Shoaib Khan, D.M.D., P.C.
• Wendy Mui, M.D.
• Perizat Mukambetova
• Anthony Mule, MA

• Clinic/Center in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.