Individual provider Active NPI

Anthony Jason Schwigel, DDS

  • Dentist
  • Hartland, WI
National Provider Identifier
1013317171
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7281-15 Issued in WI
Practice address
3079 Village Square Dr
Hartland, WI 53029-8361
Phone
(262) 367-4245
NPI assigned
Aug 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13956 MN
General Practice Dentistry 1223G0001X 9208 SC
Dentist 122300000X 7281-15 WI Primary

Addresses

Primary practice location

3079 Village Square Dr
Hartland, WI 53029-8361

Mailing address

3079 Village Square Dr
Hartland, WI 53029-8361
Phone (262) 367-4245

Other practice location 1

2D Denbn/NDC, PSC 20130 315 McHugh Blvd
Commanding Officer
Camp Lejeune, NC 28542-0130
Phone (910) 451-2208 ext. 203

Other practice location 2

125 Botanical Cir
Travelers Rest, SC 29690-7112
Phone (864) 836-3611

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

LicenseStateTypeSpecialty
D13956MNMDDentist
7281-15WIMDDentist
9208SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud 9 Dentistry SC CurrentSince Jan 24, 2021 Accepting new patients
The Dental Retreat at Mountain Park Past Accepting new patients

Locations

3079 Village Square Dr
Hartland, WI 53029
Phone (262) 367-4245

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1013317171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 VILLAGE SQUARE DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298361",
            "telephone_number": "262-367-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 VILLAGE SQUARE DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298361",
            "telephone_number": "262-367-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD",
            "address_2": "COMMANDING OFFICER",
            "address_purpose": "LOCATION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420130",
            "country_code": "US",
            "telephone_number": "910-451-2208 x203",
            "fax_number": "910-451-8036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Botanical Cir",
            "address_purpose": "LOCATION",
            "city": "Travelers Rest",
            "state": "SC",
            "postal_code": "296907112",
            "country_code": "US",
            "telephone_number": "864-836-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWIGEL",
        "first_name": "ANTHONY",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13956",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9208",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7281-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.