1. Home
  2. Directory
  3. Illinois
  4. Bourbonnais
  5. Dentist
  6. NPI Profile

FREDERICK P WALDSCHMIDT D.D.S.
NPI 1114225141
Dentist - General Practice in Bourbonnais, IL

Active since February 28, 2011PECOS Enrolled
750 ALMAR PKWY, SUITE 101, BOURBONNAIS, IL 60914(815) 932-5221(815) 932-5269 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Frederick P Waldschmidt D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK P WALDSCHMIDT D.D.S. (NPI 1114225141) is an individual general practice provider in Bourbonnais, Illinois, licensed in Illinois (019-019355) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114225141
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameFREDERICK P WALDSCHMIDTCredential: D.D.S.
Location Address750 ALMAR PKWY, SUITE 101Bourbonnais, IL 60914-2315
Mailing Address750 Almar Pkwy, Suite 101Bourbonnais, IL 60914-2315 · (815) 932-5221 · Fax (815) 932-5269
Phone(815) 932-5221
Fax(815) 932-5269
Sole ProprietorYes
Enumeration DateFebruary 28, 2011
Last NPPES UpdateApril 21, 2015
✔ NPI 1114225141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019-019355
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
750 ALMAR PKWY, Bourbonnais, IL 60914
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frederick P Waldschmidt D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JUSTIN MICHAEL STEULLET
750 ALMAR PKWY, SUITE 205
BOURBONNAIS, IL 60914
Kankakee County (815) 933-3955
UNITED SURGICAL ASSISTANTS, INC
Specialist/Technologist, Other (Surgical Technologist)
750 ALMAR PKWY, SUITE 205
BOURBONNAIS, IL 60914
Kankakee County (815) 933-3955
DR. JAMES MATTHEW ADAMS DDS
Dentist (Oral and Maxillofacial Surgery)
750 ALMAR PKWY, SUITE 102
BOURBONNAIS, IL 60914
Kankakee County (815) 939-7136
NATURAL HEALTH REMEDIES, LLC
In Home Supportive Care
750 ALMAR PKWY, SUITE 200
BOURBONNAIS, IL 60914
Kankakee County (815) 401-5527
MR. JAMES ROBERT CONERTY III RSA
750 ALMAR PKWY, SUITE 205
BOURBONNAIS, IL 60914
Kankakee County (815) 933-3955
MS. MARGARET M. BRENT L.C.P.C.
Counselor (Professional)
750 ALMAR PKWY, STE 205
BOURBONNAIS, IL 60914
Kankakee County (815) 507-6300
KIIRI TAMM TIETJENS DDS
Dentist (Oral and Maxillofacial Surgery)
750 ALMAR PKWY, SUITE 102
BOURBONNAIS, IL 60914
Kankakee County (815) 939-7136
MRS. LAURA E. DEYOUNG LCPC
Counselor (Professional)
750 ALMAR PKWY
BOURBONNAIS, IL 60914
Kankakee County (815) 768-6545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Waldschmidt's NPI number?

The NPI number for Frederick Waldschmidt is 1114225141. It was assigned to this individual provider in the NPPES registry on February 28, 2011.

Where is Frederick Waldschmidt located?

Frederick Waldschmidt practices at 750 Almar Pkwy Suite 101, Bourbonnais, IL 60914. The listed phone number is (815) 932-5221.

What is Frederick Waldschmidt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Frederick Waldschmidt enrolled in Medicare?

Yes. Frederick Waldschmidt is registered in the Medicare PECOS enrollment system.

What insurance does Frederick Waldschmidt accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Frederick Waldschmidt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Frederick Waldschmidt was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.