Active NPI
Patricia A Schweitzer, DDS
- Dentist
- Grayslake, IL
National Provider Identifier
1831651538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019024016
- 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, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019-024016 | Other | IL | DENTAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019024016 | IL | MD | Dentist |
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.