Matthew Shachat, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.032689 Issued in IL

Practice address

212 W Van Buren St # F6
Chicago, IL 60607-3909

Phone

(312) 441-0096

Fax

(773) 943-7344

NPI assigned

Apr 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 15, 2023 through Aug 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shachat Dental Group PLLC

  • Dentist
  • Chicago, IL
  • NPI 1003598210
  NPD Authorized official
• Dental Experts, LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1962673954
  NPD (past)

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1174142525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W VAN BUREN ST # F6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073909",
            "telephone_number": "312-441-0096",
            "fax_number": "773-943-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W VAN BUREN ST # F6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073909",
            "telephone_number": "312-441-0096",
            "fax_number": "773-943-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACHAT",
        "first_name": "MATTHEW",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaheera Shabbir, PHARMD
• Alana Shabez
• Ruta M Shabez, APRN, CRNA
• Samuel Shabsin, LSW, MSW
• Shachat Dental Group PLLC
• Sarah O'Hare Shackleton, PT
• Shaddai Dental Care
• Jennifer Shadden, O.T
• Yvonne Shade Zeldow, PHD
• Shades of Hope LLC

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.