Organization Active NPI

Henry C Schuppert DDS, Ms. PC.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chicago, IL
National Provider Identifier
1548324098
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021.002304 Issued in IL
Legal business name
HENRY C SCHUPPERT DDS, MS. PC.
Practice address
2835 N Sheffield Ave
Suite 102
Chicago, IL 60657-5191
Phone
(773) 929-5000
Fax
(773) 929-3385
NPI assigned
Dec 20, 2006
Last updated
Aug 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Dr. Henry C Schuppert, DDS., MS.NPI 1225192776
Title
Owner
Phone
(773) 929-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 021.002304 IL Primary

Addresses

Primary practice location

2835 N Sheffield Ave
Suite 102
Chicago, IL 60657-5191

Mailing address

2835 N Sheffield Ave
Suite 102
Chicago, IL 60657-5191
Phone (773) 929-5000

Other names 1

  • Schuppert Orthodonitcs Other name

National Provider Directory

National Provider Directory

Locations

2835 N Sheffield Ave
Ste 102
Chicago, IL 60657
Phone (773) 929-2628

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1548324098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE",
            "address_2": "SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575191",
            "telephone_number": "773-929-5000",
            "fax_number": "773-929-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE",
            "address_2": "SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575191",
            "telephone_number": "773-929-5000",
            "fax_number": "773-929-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY C SCHUPPERT DDS, MS. PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "SCHUPPERT",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-929-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS., MS."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.002304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schuppert Orthodonitcs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.