Active NPI
McKenzie Ann Schott, DMD
- Dentist
- Immokalee, FL
National Provider Identifier
1013647254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN27021
- Practice address
- 1454 Madison Ave W
Immokalee, FL 34142-2200 - Phone
- (239) 658-3000
- NPI assigned
- Jun 11, 2022
- Last updated
- Jun 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | DN27021 | FL | Primary |
Addresses
Primary practice location
1454 Madison Ave W
Immokalee, FL 34142-2200
Mailing address
341 20TH St SE
Naples, FL 34117-9461
Phone (239) 776-0182
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 |
|---|---|---|---|
| DN27021 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654905600000",
"number": "1013647254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 20TH ST SE",
"city": "NAPLES",
"state": "FL",
"postal_code": "341179461",
"telephone_number": "239-776-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 MADISON AVE W",
"city": "IMMOKALEE",
"state": "FL",
"postal_code": "341422200",
"telephone_number": "239-658-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOTT",
"first_name": "MCKENZIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-11",
"last_updated": "2022-06-11",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN27021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Immokalee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.