Thomas J. Schaffer, D.D.S.

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

019.034077 Issued in IL

Practice address

326 W 64TH St
Chicago, IL 60621-3146

Phone

(773) 962-3900

NPI assigned

Sep 4, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St Bernard Hospital

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1629147210
  Medicare reassignment NPD
• Shoreline Anesthesia, LLC

  • Dental Anesthesiology
  • Kokomo, IN
  • NPI 1407445620
  NPD Authorized official
• St Bernard Hospital & Health Care Center

  • Geriatric Medicine (Family Medicine) Physician
  • Chicago, IL
  • NPI 1700635190
  NPD

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1780052936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 PLATT ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491208733",
            "telephone_number": "718-644-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213146",
            "telephone_number": "773-962-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-04",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "IL",
            "license": "019.034077",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MP",
            "license": "0136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Schaffer, PA-C
• Krishna Rasik Schaffer, APRN
• Leslie Schaffer, MD
• Sarah Schaffer, LSW
• Sarah M Schaffer, LCPC
• Kristin Schaffhauser
• Megan Schager
• Jeffrey J Schaider, MD
• Stacie Renee Schaller, RD
• Ryan Schallon

• Dental Anesthesiology in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Anesthesiology in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.