Organization Active NPI

Shiffman Morris Dental Assoc.

  • General Practice Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1043354905
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHIFFMAN MORRIS DENTAL ASSOC.
Practice address
195 N Arlington Heights Rd
Suite 160
Buffalo Grove, IL 60089-8211
Phone
(847) 215-1511
Fax
(847) 243-0509
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jamie Schoessling, RDH
Title
Office Manager
Phone
(847) 215-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

195 N Arlington Heights Rd
Suite 160
Buffalo Grove, IL 60089-8211

Mailing address

195 N Arlington Heights Rd
Suite 160
Buffalo Grove, IL 60089-8211
Phone (847) 215-1511

National Provider Directory

National Provider Directory

Locations

195 N Arlington Heights Rd
Ste 160
Buffalo Grove, IL 60089
Phone (847) 215-1511

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043354905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 160",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898211",
            "telephone_number": "847-215-1511",
            "fax_number": "847-243-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 160",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898211",
            "telephone_number": "847-215-1511",
            "fax_number": "847-243-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFFMAN MORRIS DENTAL ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOESSLING",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-215-1511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.