Jason Sean Schrotenboer, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019030332 Issued in IL

Practice address

3927 W Belmont Ave Ste 101
Chicago, IL 60618-5170

Phone

(773) 945-5005

Fax

(773) 945-5004

NPI assigned

Jun 26, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 24, 2017 through Jun 24, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jason Schrotenboer DDS MD PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Chicago, IL
  • NPI 1548771926

  Oral and Maxillofacial Surgery

  NPD Authorized official

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1336377456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 W BELMONT AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185170",
            "telephone_number": "773-945-5005",
            "fax_number": "773-945-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 W BELMONT AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185170",
            "telephone_number": "773-945-5005",
            "fax_number": "773-945-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROTENBOER",
        "first_name": "JASON",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IL",
            "license": "019030332",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019030332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astrid Schroetter, D.D.S.
• Ingrid B. Schroetter, D.D.S.
• Amy Lynn Schroll, LCPC
• Tina M Schroll, RD
• Elizabeth Schropp, LCSW
• Samantha Schroth
• Schubert Surgical Services SC
• Jamie Hodge Schubert, PA
• Kara Hodge Schubert, RN, FNP-BC
• Hannah Schubrych

• Oral and Maxillofacial Surgery (Dentist) in Chicago, IL
• Providers in Chicago, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.