H.Johnschutze DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

031090-1 Issued in NY

Legal business name

H.JOHNSCHUTZE DDS PC

Practice address

453 Dixon Rd
Queensbury, NY 12804-1964

Phone

(518) 793-3553

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. H. John Schutze, DDS

Title

President

Phone

(518) 793-3533

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1013976679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 DIXON RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041964",
            "telephone_number": "518-793-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 DIXON RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041964",
            "telephone_number": "518-793-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.JOHNSCHUTZE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "SCHUTZE",
        "authorized_official_first_name": "H. JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-793-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "031090-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02698988",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00392787",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.