John W Schaefer, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN016082 Issued in GA

Practice address

222 12TH St NE Ste 1B
Atlanta, GA 30309-4009

Phone

(404) 815-4800

Fax

(404) 815-0002

NPI assigned

Jul 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Practice roles

Locations

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.

• Piedmont Periodontics Atlanta LLC

  • Dental Clinic/Center
  • Atlanta, GA
  • NPI 1013515709
  NPD Authorized official
• Piedmont Periodontics

  • Periodontics
  • Atlanta, GA
  • NPI 1326176991
  NPD (past)
• Sunset Hills Dental LLC

  • General Practice Dentistry
  • St Louis, MO
  • NPI 1326123647
  NPD (past)

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1285948414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 12TH ST NE STE 1B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094009",
            "telephone_number": "404-815-4800",
            "fax_number": "404-815-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 12TH ST NE STE 1B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094009",
            "telephone_number": "404-815-4800",
            "fax_number": "404-815-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11810 Gravois Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271829",
            "country_code": "US",
            "telephone_number": "314-842-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029281",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN 18094",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021.002499",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2012010128",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN016082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Louis Sceusi, MD
• Rebekah Jordan Schachner, OTD, OTR/L
• Maria Micaela Schachter, MD
• Ashley Schade, PAAA
• Nikkia Schady
• Jordan Brooke Schaeffer, PA-C
• Kathryn Lunati Schafer, CRNA
• Sandra L Schafer, CNP
• Sean Michael Schafer
• Aaron Matthew Schaffer Jr.

• Periodontics in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.