Active NPI
David E Schmidt, DDS
- Dentist
- Lake Forest, IL
National Provider Identifier
1851795769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-024857
- Practice address
- 825 S Waukegan Rd
Lake Forest, IL 60045-2696 - Phone
- (847) 234-4800
- Fax
- (847) 234-4876
- NPI assigned
- Oct 21, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019-024857 | IL | Primary |
Addresses
Primary practice location
825 S Waukegan Rd
Lake Forest, IL 60045-2696
Mailing address
825 S Waukegan Rd
Lake Forest, IL 60045-2696
Phone (847) 234-4800
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 |
|---|---|---|---|
| 019-024857 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David E. Schmidt, D.D.S., P.C. | Dentist | Current | Accepting new patients |
Locations
825 S Waukegan Rd
Ste A1
Lake Forest, IL 60045
Phone (847) 234-4800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Lake Forest, IL
- NPI 1528767373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1851795769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S WAUKEGAN RD",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452696",
"telephone_number": "847-234-4800",
"fax_number": "847-234-4876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S WAUKEGAN RD",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452696",
"telephone_number": "847-234-4800",
"fax_number": "847-234-4876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "DAVID",
"middle_name": "E",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-21",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-024857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.