Active NPI
David Schubert, DDS
- General Practice Dentistry
- Plainfield, IL
National Provider Identifier
1275539108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19A14977
- Practice address
- 24402 W Lockport St
Suite 200
Plainfield, IL 60544-4206 - Phone
- (815) 577-0700
- Fax
- (815) 577-9670
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19A14977 | IL | Primary |
Addresses
Primary practice location
24402 W Lockport St
Suite 200
Plainfield, IL 60544-4206
Mailing address
24402 W Lockport St
Suite 200
Plainfield, IL 60544-4206
Phone (815) 577-0700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19A14977 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1275539108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24402 W LOCKPORT ST",
"address_2": "SUITE 200",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605444206",
"telephone_number": "815-577-0700",
"fax_number": "815-577-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24402 W LOCKPORT ST",
"address_2": "SUITE 200",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605444206",
"telephone_number": "815-577-0700",
"fax_number": "815-577-9670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUBERT",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "19A14977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.