Justin Ivor Schwartz, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN17313 Issued in FL

Practice address

8440 W Broward Blvd
Plantation, FL 33324-2706

Phone

(954) 472-8707

NPI assigned

Aug 1, 2006

Reactivated

Jul 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sage Dental of Plantation, P.a.

  • General Practice Dentistry
  • Plantation, FL
  • NPI 1396940011
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1063429348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 W ATLANTIC AVE",
            "address_2": "SUITE W",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454637",
            "telephone_number": "561-330-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242706",
            "telephone_number": "954-472-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JUSTIN",
        "middle_name": "IVOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-07-13",
        "deactivation_date": "2017-06-16",
        "reactivation_date": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN17313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Joann Schulz, CRNA
• Helene Schwartz-Cohen, PSY. D.
• Aaron Schwartz, DO
• Eli Joshua Schwartz, DMD
• Emily L Schwartz
• Marc Schwartz, DDS
• Paige Schwartz, LCSW
• Todd D Schwartz, DO
• Robert C Schwartzman, RPH
• Chester Schwimmer, DDS

• Periodontics in Plantation, FL
• Providers in Plantation, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.