Henry Craig Schuppert, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

54324 Issued in CA

Practice address

714 Elvira Ave Unit B
Redondo Beach, CA 90277-4616

Phone

(314) 504-5964

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henry C Schuppert DDS, Ms. PC.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chicago, IL
  • NPI 1548324098
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1225192776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 ELVIRA AVE UNIT B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774616",
            "telephone_number": "314-504-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 ELVIRA AVE UNIT B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774616",
            "telephone_number": "314-504-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUPPERT",
        "first_name": "HENRY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "54324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arond Willie Schonberg
• Nicole Schoonmaker, R.N.
• Mary Schopfel, MA, LPC
• Ruth Hilda Schriebman, MFT
• Barbara Lee Schulz, MD
• Amy Levine Schwartz, M.A., MFT
• Molly Beth Schwarzmueller, LCSW
• Amie Nguyen Schweis, MD
• Scolinos Optometry Redondo Beach, Inc. (Bling Optometry Redondo Beach)
• Erin Kathleen Scott-Haines, LPCC, BC-DMT

• Orthodontics and Dentofacial Orthopedics Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.