Organization Active NPI

Roger H Schuster DDS Inc

  • General Practice Dentistry
  • Santa Monica, CA
National Provider Identifier
1124201157
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25627 Issued in CA
Legal business name
ROGER H SCHUSTER DDS INC
Practice address
2425 Colorado Ave
#210
Santa Monica, CA 90404-5501
Phone
(310) 453-5300
Fax
(310) 315-4192
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Roger H Schuster, DDS
Title
Owner President
Phone
(310) 453-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25627 CA Primary

Addresses

Primary practice location

2425 Colorado Ave
#210
Santa Monica, CA 90404-5501

Mailing address

2425 Colorado Ave
#210
Santa Monica, CA 90404-5501
Phone (310) 453-5300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1124201157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 COLORADO AVE",
            "address_2": "#210",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904045501",
            "telephone_number": "310-453-5300",
            "fax_number": "310-315-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 COLORADO AVE",
            "address_2": "#210",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904045501",
            "telephone_number": "310-453-5300",
            "fax_number": "310-315-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER H SCHUSTER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "310-453-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.