Active NPI
Ronald H Schiffers, DDS
- Public Health Dentistry
- Rock Falls, IL
National Provider Identifier
1780628263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 019019182
- Practice address
- 1308 W 2ND St
Rock Falls, IL 61071-1005 - Phone
- (815) 626-2230
- Fax
- (815) 626-6339
- NPI assigned
- Jun 15, 2006
- Last updated
- Jan 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 019019182 | IL | Primary |
Addresses
Primary practice location
1308 W 2ND St
Rock Falls, IL 61071-1005
Mailing address
1708 Marvin Pkwy
Park Ridge, IL 60068-2425
Phone (847) 698-1259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019019182 | IL | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1780628263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 MARVIN PKWY",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682425",
"telephone_number": "847-698-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 W 2ND ST",
"city": "ROCK FALLS",
"state": "IL",
"postal_code": "610711005",
"telephone_number": "815-626-2230",
"fax_number": "815-626-6339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIFFERS",
"first_name": "RONALD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "IL",
"license": "019019182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Falls, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.