NPIMap

Organization Active NPI

Aaron Schamback, DMD, PA

  • General Practice Dentistry
  • Port Saint Lucie, FL
National Provider Identifier
1033680830
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AARON SCHAMBACK, DMD, PA
Practice address
155 SW Port Saint Lucie Blvd
Suite #101
Port Saint Lucie, FL 34984
Phone
(772) 398-0990
Fax
(772) 398-0939
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Dr. Aaron Schamback, DNPI 1528125358
Title
Dentist/Owner
Phone
(772) 398-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

155 SW Port Saint Lucie Blvd
Suite #101
Port Saint Lucie, FL 34984

Mailing address

155 SW Port Saint Lucie Blvd
Suite #101
Port Saint Lucie, FL 34984
Phone (772) 398-0990

Other names 1

  • Great Smile Dental Doing business as

National Provider Directory

National Provider Directory

Locations

155 SW Port St Lucie Blvd
Ste 101
Port Saint Lucie, FL 34984
Phone (772) 398-0990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1033680830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SW PORT SAINT LUCIE BLVD",
            "address_2": "SUITE #101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34984",
            "telephone_number": "772-398-0990",
            "fax_number": "772-398-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SW PORT SAINT LUCIE BLVD",
            "address_2": "SUITE #101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34984",
            "telephone_number": "772-398-0990",
            "fax_number": "772-398-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON SCHAMBACK, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "SCHAMBACK",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "772-398-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.