Robert C. Schellentrager, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27682 Issued in CA

Practice address

617 Capitola Ave
Capitola, CA 95010-2751

Phone

(831) 475-2313

Fax

(831) 475-9157

NPI assigned

Nov 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073684205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CAPITOLA AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102751",
            "telephone_number": "831-475-2313",
            "fax_number": "831-475-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 CAPITOLA AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102751",
            "telephone_number": "831-475-2313",
            "fax_number": "831-475-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLENTRAGER",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abie Sandy, NP
• Santa Cruz Orthopaedic Institute a Medical Corporation
• Santa Cruz Psychotherapy PC (Santa Cruz Therapy Collective)
• Satellite Dialysis of Capitola LLC (Satellite Healthcare Capitola)
• Beth Schatzman, RD
• Schlenger Chiropractic Corporation
• Julia Schmida
• Jacqueline H. Sedgwick, M.D., M.P.H
• Jasmine Serbas, PT
• Damaris Serrato Lomeli

• General Practice Dentistry in Capitola, CA
• Providers in Capitola, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.