Individual provider Active NPI

Lauren Elizabeth Schultz, D.D.S.

  • General Practice Dentistry
  • Park Ridge, IL
National Provider Identifier
1053601013
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.028709 Issued in IL
Practice address
933 N Northwest Hwy
300
Park Ridge, IL 60068-5900
Phone
(847) 698-1199
Fax
(847) 655-6785
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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 019.028709 IL Primary

Addresses

Primary practice location

933 N Northwest Hwy
300
Park Ridge, IL 60068-5900

Mailing address

933 N Northwest Hwy
300
Park Ridge, IL 60068-5900
Phone (847) 698-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 25, 2016 through Jan 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.028709ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren E. Schultz, DDS, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1053601013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 N NORTHWEST HWY",
            "address_2": "300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685900",
            "telephone_number": "847-698-1199",
            "fax_number": "847-655-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N NORTHWEST HWY",
            "address_2": "300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685900",
            "telephone_number": "847-698-1199",
            "fax_number": "847-655-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.