Justin Robert Schaack, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31152 Issued in TX

Practice address

140 Joe Wimberley Blvd
Wimberley, TX 78676

Phone

(512) 847-9521

Fax

(512) 847-6185

NPI assigned

Mar 6, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Robbie Schaack Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Robert D White DDS

  • Dentist
  • Wimberley, TX
  • NPI 1992164388
  NPD
• Davi Williams, DMD, PLLC

  • Dental Clinic/Center
  • Wimberley, TX
  • NPI 1104578871
  NPD (past)

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1083030795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 319",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786760319",
            "telephone_number": "512-847-9521",
            "fax_number": "512-847-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOE WIMBERLEY BLVD",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "78676",
            "telephone_number": "512-847-9521",
            "fax_number": "512-847-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAACK",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DR60468188",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31152",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBBIE",
            "last_name": "SCHAACK",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Kaye Rogers, LCSW
• Jennifer Miller Sabatier, M.A.
• Jeremy Daniel Salas, DPT
• Wendy Salopek
• Alberto Santos III, D.O.
• Sebring Clinic
• Lane Sebring, M.D.
• Virginia T Segura, CRPHT
• Emily J Sousa, LPC, CEC
• Karin Leah Steinau, PAC

• General Practice Dentistry in Wimberley, TX
• Providers in Wimberley, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.