Active NPI
Jennifer T Silc, DDS, MS
- Periodontics
- Schaumburg, IL
National Provider Identifier
1184766263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 021002255
- Practice address
- 955 N. Plum Grove Rd. Ste E
Schaumburg, IL 60173 - Phone
- (847) 605-0280
- Fax
- (847) 605-0288
- NPI assigned
- Feb 13, 2007
- Last updated
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019027551 | IL | |
| Periodontics | 1223P0300X | 17972 | MI | |
| Periodontics | 1223P0300X | 021002255 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019027551 | IL | MD | Dentist |
| 021002255 | IL | MD | Periodontist |
| 17972 | MI | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer T. Silc D.D.S.M.S. LTD | Periodontics | Current | Accepting new patients |
Locations
1701 E Woodfield Rd
Ste 510
Schaumburg, IL 60173
Phone (847) 437-3533
955 N Plum Grove Rd
Ste E
Schaumburg, IL 60173
Phone (847) 605-0280
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1184766263",
"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": {
"last_name": "SILC",
"first_name": "JENNIFER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027551",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MI",
"license": "17972",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": "021002255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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.