Individual provider Active NPI

Michael Joseph Teuscher, D.D.S.

  • Dentist
  • St Charles, IL
National Provider Identifier
1194981092
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019019620 Issued in IL
Practice address
40W131 Campton Crossings Dr
St Charles, IL 60175-2910
Phone
(630) 762-0000
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019019620 IL Primary
Dental Clinic/Center 261QD0000X 019019620 IL
General Practice Dentistry 1223G0001X 019019620 IL

Addresses

Primary practice location

40W131 Campton Crossings Dr
St Charles, IL 60175-2910

Mailing address

1309 W Main St
St Charles, IL 60174-1623
Phone (630) 584-6340

Medicare participation

Medicare enrollment files
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.
Opted out of Medicare
Yes, effective Sep 22, 2015 through Sep 22, 2027

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160425000104 IL Order and Referring Only - DentistPractitioner - Dentist 4486953577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teuscher Legacy Dental Dentist Current Accepting new patients
Teuscher Dental General Practice Current Accepting new patients
Teuscher Dental Group Dentist Current Accepting new patients

Locations

40W131 Campton Crossings Dr
St Charles, IL 60175
Phone (630) 377-9800

1309 W Main St
St Charles, IL 60174
Phone (630) 584-6340

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1194981092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741623",
            "telephone_number": "630-584-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W131 CAMPTON CROSSINGS DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601752910",
            "telephone_number": "630-762-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUSCHER",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019620",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019019620",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.