Individual provider Active NPI

Philip L Schefke, D.D.S.

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1083789762
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
9611 165TH St
Suite 14
Orland Park, IL 60467-5654
Phone
(708) 460-1818
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

9611 165TH St
Suite 14
Orland Park, IL 60467-5654

Mailing address

9611 165TH St
Suite 14
Orland Park, IL 60467-5654
Phone (708) 460-1818

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 Sep 21, 2015 through Sep 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.020633ILMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: pschefke18577@direct.midwestern.edu

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083789762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 165TH ST",
            "address_2": "SUITE 14",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675654",
            "telephone_number": "708-460-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9611 165TH ST",
            "address_2": "SUITE 14",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675654",
            "telephone_number": "708-460-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEFKE",
        "first_name": "PHILIP",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.