Individual provider Active NPI

Adam Schuessler, D.M.D. M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Port Saint Lucie, FL
National Provider Identifier
1083857221
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN25577 Issued in FL
Practice address
1772 St Lucie W. Blvd
Port Saint Lucie, FL 34986
Phone
(772) 337-8600
NPI assigned
Apr 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN25577 FL Primary

Addresses

Primary practice location

1772 St Lucie W. Blvd
Port Saint Lucie, FL 34986

Mailing address

87 County Road 520
Morganville, NJ 07751-1241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160707001557 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7214233386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DN25577FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Oral Surgery & Dental Implants LLC Oral and Maxillofacial Surgery PastSince Feb 23, 2020 Accepting new patients
Advanced Otolaryngology Associates PastSince Apr 3, 2007 Accepting new patients
Liberty Oral Surgery Oral and Maxillofacial Surgery PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1083857221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 COUNTY ROAD 520",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 ST LUCIE W. BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34986",
            "telephone_number": "772-337-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUESSLER",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D. M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN25577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.