Organization Active NPI

Stephen M. Schwarcz, D.D.S. and Associates, Inc.

Doing business as LifeSmiles, San Pablo Dental

  • General Practice Dentistry
  • San Pablo, CA
National Provider Identifier
1174671382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30120 Issued in CA
Legal business name
STEPHEN M. SCHWARCZ, D.D.S. AND ASSOCIATES, INC.
Doing business as
LifeSmiles, San Pablo Dental
Practice address
13925 San Pablo Ave
Suite 210
San Pablo, CA 94806-3652
Phone
(510) 232-3143
Fax
(510) 232-3709
NPI assigned
Jan 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Michael Schwarcz, D.D.S.NPI 1770788283
Title
President
Phone
(510) 232-3143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30120 CA Primary

Addresses

Primary practice location

13925 San Pablo Ave
Suite 210
San Pablo, CA 94806-3652

Mailing address

13925 San Pablo Ave
Suite 210
San Pablo, CA 94806-3652
Phone (510) 232-3143

Other names 1

  • LifeSmiles, San Pablo Dental Doing business as

National Provider Directory

National Provider Directory

Locations

13925 San Pablo Ave
Ste 210
San Pablo, CA 94806
Phone (510) 232-3143

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174671382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 SAN PABLO AVE",
            "address_2": "SUITE 210",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063652",
            "telephone_number": "510-232-3143",
            "fax_number": "510-232-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 SAN PABLO AVE",
            "address_2": "SUITE 210",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063652",
            "telephone_number": "510-232-3143",
            "fax_number": "510-232-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. SCHWARCZ, D.D.S. AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARCZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-232-3143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSmiles, San Pablo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.