Organization Active NPI

Jennifer T. Silc D.D.S.M.S. LTD

Doing business as Silc Periodontics

  • Periodontics
  • Schaumburg, IL
National Provider Identifier
1154625135
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
019027551 Issued in IL
Legal business name
JENNIFER T. SILC D.D.S.M.S. LTD
Doing business as
Silc Periodontics
Practice address
955 N. Plum Grove Rd. Ste E
Schaumburg, IL 60173
Phone
(847) 605-0280
Fax
(847) 605-0288
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Dr. Jennifer T. Silc, DDS MSNPI 1184766263
Title
Doctor/President
Phone
(847) 605-0280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 019027551 IL Primary

Addresses

Primary practice location

955 N. Plum Grove Rd. Ste E
Schaumburg, IL 60173

Mailing address

955 N. Plum Grove Rd. Ste E
Schaumburg, IL 60173
Phone (847) 605-0280

Other names 1

  • Silc Periodontics Doing business as

National Provider Directory

National Provider Directory

Locations

955 N Plum Grove Rd
Ste E
Schaumburg, IL 60173
Phone (847) 605-0280

Practitioners & affiliated clinicians

Practitioners 1

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": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1154625135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N. PLUM GROVE RD. STE E",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "847-605-0280",
            "fax_number": "847-605-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N. PLUM GROVE RD. STE E",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "847-605-0280",
            "fax_number": "847-605-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER T. SILC D.D.S.M.S. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "SILC",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "847-605-0280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "019027551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silc Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silc Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.