Individual provider Active NPI

Jonathan Peter Schaack, D.D.S.

  • Pediatric Dentistry
  • McKinney, TX
National Provider Identifier
1093973331
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
23865 Issued in TX
Practice address
5971 Virginia Pkwy
#300
McKinney, TX 75071-5539
Phone
(972) 984-7890
Fax
(972) 984-7680
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 23865 TX Primary

Addresses

Primary practice location

5971 Virginia Pkwy
#300
McKinney, TX 75071-5539

Mailing address

721 Dentwood TRL
Prosper, TX 75078-8453
Phone (972) 346-4459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23865TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan P Schaack DDS PLLC Pediatric Dentistry Current Accepting new patients

Locations

5971 Virginia Pkwy
Ste 300
McKinney, TX 75071
Phone (469) 441-2698

Organizations & group practices 1

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1093973331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 DENTWOOD TRL",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788453",
            "telephone_number": "972-346-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 VIRGINIA PKWY",
            "address_2": "#300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715539",
            "telephone_number": "972-984-7890",
            "fax_number": "972-984-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAACK",
        "first_name": "JONATHAN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.