Individual provider Active NPI

Glenn Richard Scheive, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Bloomingdale, IL
National Provider Identifier
1235149279
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Practice address
183 S Bloomingdale Rd Ste 205
Bloomingdale, IL 60108-1400
Phone
(630) 893-4530
Fax
(630) 893-4584
NPI assigned
Aug 9, 2006
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
Oral and Maxillofacial Pathology Dentistry 1223P0106X IL Primary

Addresses

Primary practice location

183 S Bloomingdale Rd Ste 205
Bloomingdale, IL 60108-1400

Mailing address

183 S Bloomingdale Rd Ste 205
Bloomingdale, IL 60108-1400
Phone (630) 893-4530

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120426000513 IL Practitioner - Maxillofacial Surgery 5890957476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

183 S Bloomingdale Rd
Suite 205
Bloomingdale, IL 60108-1400
Phone (630) 893-4530

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021001078ILMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Boyer & Scheive D D S P C CurrentSince May 1, 2012 Accepting new patients

Locations

183 S Bloomingdale Rd
Bloomingdale, IL 60108
Phone (630) 893-1300

183 S Bloomingdale Rd
Ste 205
Bloomingdale, IL 60108
Phone (630) 893-4530

845 S Main St
Lombard, IL 60148
Phone (630) 620-1980

845 S Main St
Ste 100
Lombard, IL 60148
Phone (630) 629-5010

620 W Roosevelt Rd
Ste D2
Wheaton, IL 60187
Phone (630) 653-8883

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235149279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD STE 205",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081400",
            "telephone_number": "630-893-4530",
            "fax_number": "630-893-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD STE 205",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081400",
            "telephone_number": "630-893-4530",
            "fax_number": "630-893-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIVE",
        "first_name": "GLENN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.