Frederick P Waldschmidt D D S P C

Primary specialty

DentistTaxonomy code 122300000X

License

019019355 Issued in IL

Legal business name

FREDERICK P WALDSCHMIDT D D S P C

Practice address

750 Almar Parkway
Suite 101
Bourbonnais, IL 60914

Phone

(815) 932-5221

Fax

(815) 932-5269

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Frederick P Waldschmidt, DDSNPI 1114225141

Title

President Secretary Treasurer

Phone

(815) 932-5221

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick P Waldschmidt, D.D.S.

  • General Practice Dentistry
  • Bourbonnais, IL
  • NPI 1114225141
  NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1780758193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ALMAR PARKWAY",
            "address_2": "SUITE 101",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "60914",
            "telephone_number": "815-932-5221",
            "fax_number": "815-932-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ALMAR PARKWAY",
            "address_2": "SUITE 101",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "60914",
            "telephone_number": "815-932-5221",
            "fax_number": "815-932-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK P WALDSCHMIDT D D S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "WALDSCHMIDT",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT SECRETARY TREASURER",
        "authorized_official_telephone_number": "815-932-5221",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foster Chiropractic S.C
• Lori Renee' Foster, D.C.
• Denise Marie Franklin
• Jason Rim Franklin, M.D.
• Zachary T. Frazier, D.D.S.
• Brittany Fry
• Dennis Fung, PT
• Samantha Furtek
• Andrea Gall
• Alyssa Garcia

• Dentist in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.