Active NPI
Daniel Joseph Schellhase, DDS MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Jacksonville, FL
National Provider Identifier
1003922980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 6127
- Practice address
- 5435 Ortega Blvd
Ste 2
Jacksonville, FL 32210-8435 - Phone
- (904) 388-4600
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6127 | FL | Primary |
Addresses
Primary practice location
5435 Ortega Blvd
Ste 2
Jacksonville, FL 32210-8435
Mailing address
5435 Ortega Blvd
Ste 2
Jacksonville, FL 32210-8435
Phone (904) 388-4600
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6127 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortega Orthodontics, PLLC | Past | Accepting new patients | |
| Schellhase, Koehler, and O'Shaughnessy, P.a. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Jacksonville, FL
- NPI 1407045974
-
- Dental Clinic/Center
- Jacksonville, FL
- NPI 1265845457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1003922980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5435 ORTEGA BLVD",
"address_2": "STE 2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322108435",
"telephone_number": "904-388-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5435 ORTEGA BLVD",
"address_2": "STE 2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322108435",
"telephone_number": "904-388-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHELLHASE",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "6127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.