Active NPI
Jonathan Peter Schaack, D.D.S.
- Pediatric Dentistry
- McKinney, TX
National Provider Identifier
1093973331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 23865
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 23865 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatric Dentistry
- McKinney, TX
- NPI 1083486591
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.