NPIMap

Organization Active NPI

Schaeferle & Schaeferle Family Dental Care

  • Dentist
  • Crestline, OH
National Provider Identifier
1306962089
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21007 Issued in OH
Legal business name
SCHAEFERLE & SCHAEFERLE FAMILY DENTAL CARE
Practice address
1000 W Main St
Crestline, OH 44827-1378
Phone
(419) 683-1135
Fax
(419) 683-4252
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tammi Schaeferle, DDSNPI 1740376417
Title
Dentist
Phone
(419) 683-1135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21007 OH Primary

Addresses

Primary practice location

1000 W Main St
Crestline, OH 44827-1378

Mailing address

1000 W Main St
Crestline, OH 44827-1378
Phone (419) 683-1135

National Provider Directory

National Provider Directory

Locations

1000 W Main St
Crestline, OH 44827
Phone (419) 683-1135

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306962089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W MAIN ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271378",
            "telephone_number": "419-683-1135",
            "fax_number": "419-683-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MAIN ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271378",
            "telephone_number": "419-683-1135",
            "fax_number": "419-683-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAEFERLE & SCHAEFERLE FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAEFERLE",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "419-683-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "21007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestline, OH

Sources for this page

  • 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.