Individual provider Active NPI

Eric Michael Schoening, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1013295955
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019029186 Issued in IL
Practice address
8 S Michigan Ave Ste 1306
Chicago, IL 60603-3377
Phone
(872) 888-9010
NPI assigned
Jul 26, 2011
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019029186 IL Primary

Addresses

Primary practice location

8 S Michigan Ave Ste 1306
Chicago, IL 60603-3377

Mailing address

996 Wilkinson Trce
B6
Bowling Green, KY 42103-3407
Phone (270) 782-1128

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@dentistonthepark.com

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

LicenseStateTypeSpecialty
019029186ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dentist on the Park, Inc. CurrentSince Oct 23, 2022 Accepting new patients
Dental Practice Group of Tennessee, PLLC Past Accepting new patients
Commonwealth Dental General Practice Past Accepting new patients

Locations

8 S Michigan Ave
Ste 1306
Chicago, IL 60603
Phone (312) 332-4003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1013295955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 WILKINSON TRCE",
            "address_2": "B6",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033407",
            "telephone_number": "270-782-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE STE 1306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033377",
            "telephone_number": "872-888-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENING",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dentistonthepark.com",
            "affiliation": "N",
            "address_1": "8 S Michigan Ave Ste 1306",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606033377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 18, 2022; 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.