Active NPI
Scott Vassel Schlofman, DDS
- Endodontics
- Fort Sam Houston, TX
National Provider Identifier
1114901261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 31409
- Practice address
- 2940 Stanley Rd
Fort Sam Houston, TX 78234-2740 - Phone
- (210) 295-4095
- NPI assigned
- Dec 2, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 31409 | TX | |
| Dentist | 122300000X | D-3906 | ID | |
| Endodontics | 1223E0200X | D-3906 | ID | |
| Endodontics | 1223E0200X | 31409 | TX | Primary |
Addresses
Primary practice location
2940 Stanley Rd
Fort Sam Houston, TX 78234-2740
Mailing address
4070 Stanley Rd Ste 214
Fort Sam Houston, TX 78234-2714
Phone (210) 295-2368
Other practice location 1
3145 Garden Ave Ste 1278
Fort Sam Houston, TX 78234-7719
Phone (210) 808-3735
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 |
|---|---|---|---|
| D-3906 | ID | MD | Dentist |
| 31409 | TX | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1114901261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4070 STANLEY RD STE 214",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782342714",
"telephone_number": "210-295-2368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 STANLEY RD",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782342740",
"telephone_number": "210-295-4095"
}
],
"practiceLocations": [
{
"address_1": "3145 Garden Ave Ste 1278",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782347719",
"country_code": "US",
"telephone_number": "210-808-3735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHLOFMAN",
"first_name": "SCOTT",
"middle_name": "VASSEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31409",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-3906",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "ID",
"license": "D-3906",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "31409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.