Organization Active NPI

DRS Boyer & Scheive D D S P C

  • Oral and Maxillofacial Surgery (Dentist)
  • Bloomingdale, IL
National Provider Identifier
1255595310
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019015102 Issued in IL
Legal business name
DRS BOYER & SCHEIVE D D S P C
Practice address
183 S Bloomingdale Rd
Ste. 205
Bloomingdale, IL 60108-1466
Phone
(630) 893-4530
Fax
(630) 893-4584
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Ms. Donna Ryan
Title
Office Manager
Phone
(630) 893-4530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 019015102 IL Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 019015979 IL

Addresses

Primary practice location

183 S Bloomingdale Rd
Ste. 205
Bloomingdale, IL 60108-1466

Mailing address

183 S Bloomingdale Rd
Ste. 205
Bloomingdale, IL 60108-1466
Phone (630) 893-4530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000354 IL Part B Supplier - Clinic/Group Practice 5092977678 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomingdale, IL; Lombard, IL; Wheaton, IL

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1255595310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD",
            "address_2": "STE. 205",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081466",
            "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",
            "address_2": "STE. 205",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081466",
            "telephone_number": "630-893-4530",
            "fax_number": "630-893-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS BOYER & SCHEIVE D D S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-893-4530",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019015102",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019015979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.