Jason Schrotenboer DDS MD PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

319019549 Issued in IL

Legal business name

JASON SCHROTENBOER DDS MD PC

Doing business as

Arbor View Oral & Facial Surgery

Practice address

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

Phone

(872) 239-6787

NPI assigned

Oct 12, 2017

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Schrotenboer, DDS, MDNPI 1336377456

Title

Owner, President

Phone

(773) 945-5005

Specialties & licenses 2

Addresses

Other names 1

• Arbor View Oral & Facial Surgery Doing business as

Locations

Practitioners 1

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.

• Jason Sean Schrotenboer, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Chicago, IL
  • NPI 1336377456
  NPD Authorized official

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1548771926",
    "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": "872-239-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON SCHROTENBOER DDS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "SCHROTENBOER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "773-945-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "319019549",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IL",
            "license": "319019549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor View Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arbor View Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Avis C Jason, DPT
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• Mark E Jasper, NP
• Tyler Jasper

• Oral & Maxillofacial Surgery (D.M.D.) in Chicago, IL
• Providers in Chicago, IL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.