Individual provider Active NPI

John J. Schymanski, D.D.S.

  • General Practice Dentistry
  • Schererville, IN
National Provider Identifier
1215061411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009438 Issued in IN
Practice address
7303 Forest Ridge Dr
Schererville, IN 46375-3351
Phone
(219) 756-2345
Fax
(219) 756-3772
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009438 IN Primary

Addresses

Primary practice location

7303 Forest Ridge Dr
Schererville, IN 46375-3351

Mailing address

7303 Forest Ridge Dr
Schererville, IN 46375-3351
Phone (219) 756-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20170913002368 IN Order and Referring Only - DentistPractitioner - Dentist 6608149653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
12009438INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John J. Schymanski, DDS, PC General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215061411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 FOREST RIDGE DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753351",
            "telephone_number": "219-756-2345",
            "fax_number": "219-756-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 FOREST RIDGE DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753351",
            "telephone_number": "219-756-2345",
            "fax_number": "219-756-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHYMANSKI",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

Verify at the official NPI Registry.