Active NPI
Garrett Steven Schneider, DDS
- Dentist
- Philadelphia, PA
National Provider Identifier
1134899842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043246
- Practice address
- 12401 Academy Rd Ste 201
Philadelphia, PA 19154-1934 - Phone
- (215) 632-1244
- NPI assigned
- Sep 14, 2021
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS043246 | PA | Primary |
Addresses
Primary practice location
12401 Academy Rd Ste 201
Philadelphia, PA 19154-1934
Mailing address
1101 Ludlow St Apt 1820
Philadelphia, PA 19107-4281
Phone (718) 974-5656
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 |
|---|---|---|---|
| DS043246 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1134899842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 LUDLOW ST APT 1820",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074281",
"telephone_number": "718-974-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 ACADEMY RD STE 201",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191541934",
"telephone_number": "215-632-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "GARRETT",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.