Active NPI
John Anthony Schwerer II, DMD
- General Practice Dentistry
- Fort Pierce, FL
National Provider Identifier
1174360739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29316
- Practice address
- 4634 S 25TH St
Fort Pierce, FL 34981-5057 - Phone
- (772) 464-3671
- NPI assigned
- Jul 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29316 | FL | Primary |
Addresses
Primary practice location
4634 S 25TH St
Fort Pierce, FL 34981-5057
Mailing address
1500 S Indian River Dr
Fort Pierce, FL 34950-5423
Phone (772) 216-3110
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 |
|---|---|---|---|
| 29316 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1174360739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S INDIAN RIVER DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349505423",
"telephone_number": "772-216-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4634 S 25TH ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349815057",
"telephone_number": "772-464-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWERER",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "29316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.