Organization Active NPI

Michael Schuiling DDS PLLC

Doing business as Blackberry Dental

  • Dental Clinic/Center
  • Elburn, IL
National Provider Identifier
1639900475
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHAEL SCHUILING DDS PLLC
Doing business as
Blackberry Dental
Practice address
708 N Main St
Elburn, IL 60119-9103
Phone
(630) 365-6127
NPI assigned
Aug 13, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Dr. Michael James Schuiling, DDSNPI 1235405473
Title
Owner
Phone
(630) 365-6127

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

708 N Main St
Elburn, IL 60119-9103

Mailing address

708 N Main St
Elburn, IL 60119-9103
Phone (630) 365-6127

Other names 1

  • Blackberry Dental Doing business as

National Provider Directory

National Provider Directory

Locations

708 N Main St
Elburn, IL 60119
Phone (630) 365-6127

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": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1639900475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N MAIN ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199103",
            "telephone_number": "630-365-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N MAIN ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199103",
            "telephone_number": "630-365-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SCHUILING DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "SCHUILING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-365-6127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackberry Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.