Amanda Grayce Schwartz, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7162-15 Issued in WI

Practice address

823 Belknap St
Ste. 220
Superior, WI 54880-2960

Phone

(715) 392-4545

NPI assigned

Sep 5, 2013

Sex

Female

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

Enrolled in MN

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

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.

• Schwartz Dental, PLLC

  dba Grayce Dental

  • Dental Clinic/Center
  • Chanhassen, MN
  • NPI 1063168789
  NPD Authorized official
• Conkright Dental, LLC

  • General Practice Dentistry
  • Superior, WI
  • NPI 1679877542
  NPD (past)

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1316372691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 BELKNAP ST",
            "address_2": "STE. 220",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802960",
            "telephone_number": "715-392-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 BELKNAP ST",
            "address_2": "STE. 220",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802960",
            "telephone_number": "715-392-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "AMANDA",
        "middle_name": "GRAYCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7162-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Danforth Schmidt, PHARMD
• Emma Schmit
• Miranda M Schoenecker, PA-C
• Donna Marie Schroeder, DDS
• Pamela S. Schwartau, CFNP
• Ronald Kent Scott, DDS
• Paul Jay Seese II, RN
• Natalie Sell
• Robert Lovell Sellers, MD
• Senior Connections, Inc.

• Dentist in Superior, WI
• Providers in Superior, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.