Organization Active NPI

Jerald Scharfenberg DDS PC

  • General Practice Dentistry
  • Elmhurst, IL
National Provider Identifier
1972730471
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1914976 Issued in IL
Legal business name
JERALD SCHARFENBERG DDS PC
Practice address
135D N Addison Ave Ste 240
Elmhurst, IL 60126-2809
Phone
(630) 279-3070
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Dr. Jerald Walter Scharfenberg, D.D.S.NPI 1386680114
Title
President
Phone
(630) 279-3070

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1914976 IL Primary

Addresses

Primary practice location

135D N Addison Ave Ste 240
Elmhurst, IL 60126-2809

Mailing address

135D N Addison Ave Ste 240
Elmhurst, IL 60126-2809
Phone (630) 279-3070

National Provider Directory

National Provider Directory

Locations

135 N Addison Ave
Ste 240
Elmhurst, IL 60126
Phone (630) 279-3070

Practitioners & affiliated clinicians

Practitioners 1

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": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1972730471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135D N ADDISON AVE STE 240",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262809",
            "telephone_number": "630-279-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135D N ADDISON AVE STE 240",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262809",
            "telephone_number": "630-279-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERALD SCHARFENBERG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "SCHARFENBERG",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-279-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "1914976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.