James Jeffrey Schaefer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8613 Issued in IN

Practice address

9670 E Washington St
Ste 135
Indianapolis, IN 46229-3038

Phone

(317) 357-3533

Fax

(317) 357-3565

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1265500367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 E WASHINGTON ST",
            "address_2": "STE 135",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293038",
            "telephone_number": "317-357-3533",
            "fax_number": "317-357-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 E WASHINGTON ST",
            "address_2": "STE 135",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293038",
            "telephone_number": "317-357-3533",
            "fax_number": "317-357-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JAMES",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew E Schade, M.D., PH.D.
• Sonja Lynn Schaeckenbach, OT
• Elizabeth Ann Schaefer, MD
• Frederick L Schaefer, CSFA-OS
• Heidi J Schaefer, LMHC
• Jessica Lynn Schaefer, M.S., ATC, PES
• John F Schaefer, M.D.
• Lisa Ann Schaefer, MSPT
• Rebecca Elizabeth Schaefer, RN
• Brent Schaeffer, PHARMD

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.