Active NPI
Suzanne Schneegas-Mahoney, DDS
- Public Health Dentistry
- Wheaton, IL
National Provider Identifier
1457482036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 019020485
- Practice address
- 111 N. County Farm Rd.
Wheaton, IL 60187-3988 - Phone
- (630) 682-7979
- Fax
- (630) 462-9249
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 019020485 | IL | Primary |
Addresses
Primary practice location
111 N. County Farm Rd.
Wheaton, IL 60187-3988
Mailing address
843 S Kearsage Ave
Elmhurst, IL 60126-4454
Phone (630) 833-8431
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1457482036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 S KEARSAGE AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601264454",
"telephone_number": "630-833-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N. COUNTY FARM RD.",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873988",
"telephone_number": "630-682-7979",
"fax_number": "630-462-9249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEEGAS-MAHONEY",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "IL",
"license": "019020485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.