Individual provider Active NPI

Patricia A Schweitzer, DDS

  • Dentist
  • Grayslake, IL
National Provider Identifier
1831651538
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019024016 Issued in IL
Practice address
41 Hawley St
Grayslake, IL 60030-1512
Phone
(847) 223-0811
Fax
(847) 223-0829
NPI assigned
Apr 2, 2019
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019024016 IL Primary

Addresses

Primary practice location

41 Hawley St
Grayslake, IL 60030-1512

Mailing address

41 Hawley St
Grayslake, IL 60030-1512
Phone (847) 223-0811

Other identifiers 1

IdentifierTypeStateIssuer
019-024016OtherILDENTAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@grayslakedentist.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
019024016ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1831651538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HAWLEY ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301512",
            "telephone_number": "847-223-0811",
            "fax_number": "847-223-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HAWLEY ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301512",
            "telephone_number": "847-223-0811",
            "fax_number": "847-223-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEITZER",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "019-024016",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@grayslakedentist.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "41 Hawley St",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600301512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.