Individual provider Active NPI

Caroline Scholtz, D.D.S., M.S.

  • Pediatric Dentistry
  • Lincolnshire, IL
National Provider Identifier
1255458394
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
021001323 Issued in IL
Practice address
185 Milwaukee Ave
Suite 140
Lincolnshire, IL 60069-3010
Phone
(847) 478-8100
Fax
(847) 478-8812
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 021001323 IL Primary

Addresses

Primary practice location

185 Milwaukee Ave
Suite 140
Lincolnshire, IL 60069-3010

Mailing address

185 Milwaukee Ave
Suite 140
Lincolnshire, IL 60069-3010
Phone (847) 478-8100

Other practice location 1

5530 W Montrose Ave
Chicago, IL 60641-1330
Phone (773) 282-8800

Other identifiers 3

IdentifierTypeStateIssuer
021001323OtherILSP PEDIATRIC DENTISTRY
319008708OtherILCONTOLLED SUBSTANCE IL
019019265OtherILDENTAL LICENSE

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

LicenseStateTypeSpecialty
021001323ILMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Stablein DDS, P.C. Past Accepting new patients
Children'S Oral Care Only, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1255458394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MILWAUKEE AVE",
            "address_2": "SUITE 140",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693010",
            "telephone_number": "847-478-8100",
            "fax_number": "847-478-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MILWAUKEE AVE",
            "address_2": "SUITE 140",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693010",
            "telephone_number": "847-478-8100",
            "fax_number": "847-478-8812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 W Montrose Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606411330",
            "country_code": "US",
            "telephone_number": "773-282-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOLTZ",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021001323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SP PEDIATRIC DENTISTRY",
            "identifier": "021001323",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTOLLED SUBSTANCE IL",
            "identifier": "319008708",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "019019265",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.