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DR. SHANDRA LOLITA BUNDY-SMITH D.D.S.
NPI 1184769739
Dentist - General Practice in Harvey, IL

Active since February 21, 2007PECOS Enrolled
31 W 155TH ST, HARVEY, IL 60426(708) 596-5177 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2021, Apr 25, 2019 (2 updates tracked since 2019).

About Dr. Shandra Lolita Bundy-smith D.d.s. NPPES

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

DR. SHANDRA LOLITA BUNDY-SMITH D.D.S. (NPI 1184769739) is an individual general practice provider in Harvey, Illinois, licensed in Illinois (019023785) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Schererville.

NPPES Registry Identity

NPI1184769739
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANDRA LOLITA BUNDY-SMITHCredential: D.D.S.
Location Address31 W 155TH STHarvey, IL 60426-3556
Mailing Address19512 Sequoia AveLynwood, IL 60411-6825 · (708) 288-6295 · Fax (708) 889-1066
Phone(708) 596-5177
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1184769739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 019023785✔ Licensed in IN · 12013090A
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.
31 W 155TH ST, Harvey, IL 60426
Open in Google Maps ↗

Secondary Practice Location 1

Location 1713 US Highway 41 Ste ASchererville, IN 46375-1798 · Phone (219) 293-8039 · Fax (913) 752-9116

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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)

Dr. Shandra Lolita Bundy-smith 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 60426 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 20

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

MISS MAIRA OCHOA APN
Nurse Practitioner (Family)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
TED GEORGE ODY ACHUFUSI DO
Family Medicine
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
BERYL ARMSTRONG LCPC
Counselor (Professional)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
JENNIFER R YOUNG LPC
Counselor
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
FAMILY CHRISTIAN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
DR. STEPHANIE LIGGONS FNP-BC
Nurse Practitioner (Family)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
KRISTIN LUCAS M.D.
Pediatrics
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
FAMILY CHRISTIAN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177

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 Shandra Bundy-smith's NPI number?

The NPI number for Shandra Bundy-smith is 1184769739. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Shandra Bundy-smith located?

Shandra Bundy-smith practices at 31 W 155th St, Harvey, IL 60426. The listed phone number is (708) 596-5177.

What is Shandra Bundy-smith's specialty?

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

Is Shandra Bundy-smith enrolled in Medicare?

Yes. Shandra Bundy-smith is registered in the Medicare PECOS enrollment system.

What insurance does Shandra Bundy-smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Shandra Bundy-smith 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 Shandra Bundy-smith was last updated on July 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.