Individual provider Active NPI

David B. Schwartz, D.D.S LTD

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1700965589
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019021156 Issued in IL
Practice address
9933 Lawler Ave Ste 340
Skokie, IL 60077-3773
Phone
(847) 677-2808
Fax
(847) 677-3214
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019021156 IL Primary

Addresses

Primary practice location

9933 Lawler Ave Ste 340
Skokie, IL 60077-3773

Mailing address

9933 Lawler Ave Ste 340
Skokie, IL 60077-3773
Phone (847) 677-2808

Other identifiers 1

IdentifierTypeStateIssuer
31888OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113002268 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416965256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019021156ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David B. Schwartz DDS LTD General Practice PastSince Jun 17, 1997 Accepting new patients
Wendy Shorr Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1700965589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 340",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773773",
            "telephone_number": "847-677-2808",
            "fax_number": "847-677-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 340",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773773",
            "telephone_number": "847-677-2808",
            "fax_number": "847-677-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "DAVID",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S  LTD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31888",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.