Organization Active NPI

Robert K. Schaffer DDS Inc

  • Dentist
  • San Diego, CA
National Provider Identifier
1306385034
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61261 Issued in CA
Legal business name
ROBERT K. SCHAFFER DDS INC
Practice address
12750 Carmel Country Rd
205
San Diego, CA 92130-2159
Phone
(858) 481-1148
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Dr. Robert Schaffer, DDS
Title
Dentist/President
Phone
(858) 481-1148

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 61261 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 38151 CA

Addresses

Primary practice location

12750 Carmel Country Rd
205
San Diego, CA 92130-2159

Mailing address

12750 Carmel Country Rd
Suite 205
San Diego, CA 92130-2159
Phone (858) 481-1148

Other names 1

  • Schaffer Dental Excellence Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1306385034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302159",
            "telephone_number": "858-481-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD",
            "address_2": "205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302159",
            "telephone_number": "858-481-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT K. SCHAFFER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "858-481-1148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61261",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schaffer Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.