Colleen Moran Scheive, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019028076 Issued in IL

Practice address

467 Roosevelt Rd
Glen Ellyn, IL 60137

Phone

(630) 469-5364

Fax

(630) 469-8705

NPI assigned

Aug 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1184856890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375601",
            "telephone_number": "630-469-5364",
            "fax_number": "630-469-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-469-5364",
            "fax_number": "630-469-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIVE",
        "first_name": "COLLEEN",
        "middle_name": "MORAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassan Sawaf, MD
• Adam Leslie Saylor, D.M.D.
• Schaffnit Chiropractic
• Schaffnit Chiropractic and Rehabilitation
• Blake P Schaffnit, D.C.
• John Schell, MPT
• Tessa Schultz, DNP, APRN, PMHNP
• Jessica Schwan, LCPC
• Regina Schwan
• Maren Schwartz, LCSW

• Dentist in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.