NPIMap

Organization Active NPI

Wendy Shorr

  • Dentist
  • Skokie, IL
National Provider Identifier
1841661931
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019021276 Issued in IL
Legal business name
WENDY SHORR
Practice address
9933 Lawler Ave
Suite 340
Skokie, IL 60077-3773
Phone
(847) 673-8883
Fax
(847) 677-3214
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Dr. Wendy Ellen Shorr, DDSNPI 1619047115
Title
Owner
Phone
(847) 673-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019021276 IL Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

9933 Lawler Ave
Suite 340
Skokie, IL 60077-3773

Mailing address

9933 Lawler Ave
Suite 340
Skokie, IL 60077-3773
Phone (847) 673-8883

Other names 1

  • Wendy Shorr DDS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160204001271 IL DME Supplier - Oral Surgery - Dentist 2466756838 Practice locations: Skokie, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1841661931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "address_2": "SUITE 340",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773773",
            "telephone_number": "847-673-8883",
            "fax_number": "847-677-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE",
            "address_2": "SUITE 340",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773773",
            "telephone_number": "847-673-8883",
            "fax_number": "847-677-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY SHORR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "SHORR",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-673-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021276",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendy Shorr DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.