Active NPI
Scott Allen Schwartz, DDS
- Dentist
- San Antonio, TX
National Provider Identifier
1013015221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21664
- Practice address
- 8410 Datapoint Dr
VA Dental Clinic
San Antonio, TX 78229-3220 - Phone
- (210) 949-8900
- Fax
- (210) 949-8906
- NPI assigned
- Sep 20, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 21664 | TX | Primary |
Addresses
Primary practice location
8410 Datapoint Dr
VA Dental Clinic
San Antonio, TX 78229-3220
Mailing address
8511 Regis Heights
San Antonio, TX 78254-2336
Phone (210) 452-4498
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16624502 | Other | CIDC DENTAL | |
| 166245401 | Medicaid | TX | |
| 1634811 | Other | UNITED CONCORDIA | |
| 88D945 | Other | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 21664 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1013015221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8511 REGIS HEIGHTS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782542336",
"telephone_number": "210-452-4498",
"fax_number": "210-949-8906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8410 DATAPOINT DR",
"address_2": "VA DENTAL CLINIC",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293220",
"telephone_number": "210-949-8900",
"fax_number": "210-949-8906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "SCOTT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIDC DENTAL",
"identifier": "16624502",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166245401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1634811",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88D945",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.