Skokie Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SKOKIE FAMILY DENTISTRY PLLC

Practice address

4709 Golf Rd Ste 112
Skokie, IL 60076-1238

Phone

(847) 675-7750

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Robert Stites

Title

Insurance Coordinator-Decisionone

Phone

(630) 869-5857

Specialties & licenses 1

Addresses

Other names 1

• Lifetime Dentistry of Skokie Doing business as

Locations

Practitioners 1

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

• Richard A. Schmidt, D.D.S.

  • Dentist
  • Skokie, IL
  • NPI 1275542466
  NPD (past)

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1144934142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 112",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761238",
            "telephone_number": "847-675-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 112",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761238",
            "telephone_number": "847-675-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOKIE FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "STITES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR-DECISIONONE",
        "authorized_official_telephone_number": "630-869-5857"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Dentistry of Skokie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skokie Meadows LLC
• Skokie Meadows Nursing Center II

• General Practice Dentistry in Skokie, IL
• Providers in Skokie, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.