Active NPI
Anthony Jason Schwigel, DDS
- Dentist
- Hartland, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7281-15
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D13956 | MN | MD | Dentist |
| 7281-15 | WI | MD | Dentist |
| 9208 | SC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud 9 Dentistry SC | Current | 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.
-
- Dental Clinic/Center
- Hartland, WI
- NPI 1871183251
-
- Dental Clinic/Center
- Travelers Rest, SC
- NPI 1821485640
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.