Jeffrey L Schwab DDS Apdc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4007 Issued in LA

Legal business name

JEFFREY L SCHWAB DDS APDC

Practice address

875 Park Ave
Mandeville, LA 70448

Phone

(985) 624-7707

NPI assigned

Dec 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Lynn Schwab, DDSNPI 1154482354

Title

President

Phone

(985) 624-7707

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Jeffrey Lynn Schwab, DDS

  • General Practice Dentistry
  • Mandeville, LA
  • NPI 1154482354
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184785388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 PARK AVE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-624-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PARK AVE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-624-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L SCHWAB DDS APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWAB",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-624-7707",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1840076",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "A1947",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ben Jeansonne
• Bryan Jeansonne
• Rhiannon G Jeansonne, PHARMD
• Richard Michael Jeansonne Jr., M.D.
• Madeline Jee
• Linda Daniels Jenkins, PHARMD
• Daniel K Jens, MD
• Jorge Jesam, LMT
• Katherine Elizabeth Jessup
• Kelly Jester, R.PH.

• General Practice Dentistry in Mandeville, LA
• Providers in Mandeville, LA by specialty
• General Practice Dentistry in Louisiana

• 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.