Jerald Walter Scharfenberg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19A14976 Issued in IL

Practice address

135 N Addison Ave
Ste. 240
Elmhurst, IL 60126-2857

Phone

(630) 279-3070

NPI assigned

Jun 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 30, 2015 through Aug 30, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jerald Scharfenberg DDS PC

  • General Practice Dentistry
  • Elmhurst, IL
  • NPI 1972730471
  NPD (past) Authorized official
• Scharfenberg Harmon Dental Partnership

  dba Scharfenberg Dental

  • General Practice Dentistry
  • Elmhurst, IL
  • NPI 1982416509
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386680114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N ADDISON AVE",
            "address_2": "STE. 240",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262819",
            "telephone_number": "630-279-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N ADDISON AVE",
            "address_2": "STE. 240",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262857",
            "telephone_number": "630-279-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARFENBERG",
        "first_name": "JERALD",
        "middle_name": "WALTER",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A14976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Sayegh-Crocco, NP
• Nicole Sayer, BCBA
• SBNB Inc. (Avenora Elmhurst)
• Scharfenberg Harmon Dental Partnership (Scharfenberg Dental)
• Carly Scharfenberg, D.D.S.
• Caira Schauer
• Jeanne Schemonia, LMT
• Madison Schierbeek
• Melissa Schiff, IBCLC
• Jessica Schlotfeldt, PHARMD

• General Practice Dentistry in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.