Derek Schutzman, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

063261 Issued in NY

Practice address

1674 Empire Blvd Ste 400
Webster, NY 14580-1894

Phone

(585) 671-1650

NPI assigned

Apr 26, 2022

Last updated

May 1, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empire Dental of Webster PLLC

  dba Empire Dental Care

  • General Practice Dentistry
  • Webster, NY
  • NPI 1558987867
  NPD

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1114661162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16223 ANDALUCIA LN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469509",
            "telephone_number": "201-819-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 EMPIRE BLVD STE 400",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801894",
            "telephone_number": "585-671-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7431 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334463512",
            "country_code": "US",
            "telephone_number": "561-499-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUTZMAN",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27009",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lea Schipper, M.S.N., ANP
• Amy Schlageter
• Nicole Marie Schouten, LPN
• Sara Schrader, MSPT
• Andrew John Schuler, PHARMD
• Don Vincent Scigliano, PHARMD
• Megan Scott, MS/OTR/L
• Erin Kathleen Scuderi
• John W Seaford, MD
• Kimberly Lynn Seaver, M.A., CCC-SLP

• Dentist in Webster, NY
• Providers in Webster, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.