1. Home
  2. Directory
  3. Illinois
  4. Waukegan
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW LUPSAN
NPI 1619692811
Dentist - General Practice in Waukegan, IL

Active since October 10, 2022
2821 GRAND AVE, WAUKEGAN, IL 60085(847) 662-4400 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, May 24, 2023, Oct 10, 2022 (3 updates tracked since 2022).

About Matthew Lupsan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW LUPSAN (NPI 1619692811) is an individual general practice provider in Waukegan, Illinois, licensed in Illinois (019.034201) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1619692811
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMATTHEW LUPSAN
Location Address2821 GRAND AVEWaukegan, IL 60085-2372
Mailing Address1461 S Blue Island AveChicago, IL 60608-2282
Phone(847) 662-4400
Sole ProprietorNo
Enumeration DateOctober 10, 2022
Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1619692811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.034201
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2821 GRAND AVE, Waukegan, IL 60085
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAIMARIE GISELLE ALAS DORSEY D.M.D., M.S.
Dentist (General Practice)
2821 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 662-4400
DENTAL EXPERTS, LLC
Dentist (General Practice)
2821 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 662-4400
SANG HAN
Dentist (General Practice)
2821 GRAND AVE
WAUKEGAN, IL 60085
Lake County (773) 225-0582
YONGHWI MOON
Dentist
2821 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 662-4400
DR. LOOLUL MARJAN DMD
Dentist
2821 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 662-4400
NAZIK SHABAN
Dentist
2821 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 662-4400
DAVID JEONG DDS
Dentist (General Practice)
2821 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 662-4400
ANA LUZ BARAJAS PRECIADO
Dentist (General Practice)
2821 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 662-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Lupsan's NPI number?

The NPI number for Matthew Lupsan is 1619692811. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Matthew Lupsan located?

Matthew Lupsan practices at 2821 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 662-4400.

What is Matthew Lupsan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Matthew Lupsan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 6 other insurers list Matthew Lupsan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Lupsan was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.