Individual provider Active NPI

Nolan Edward Schwerin Jr., DDS

  • Dentist
  • North Charleston, SC
National Provider Identifier
1366562548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1291 Issued in SC
Practice address
4515 Spruill Avenue
North Charleston, SC 29405
Phone
(843) 744-0311
Fax
(843) 744-0443
NPI assigned
Mar 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1291 SC Primary

Addresses

Primary practice location

4515 Spruill Avenue
North Charleston, SC 29405

Mailing address

4515 Spruill Avenue
North Charleston, SC 29405
Phone (843) 744-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1291SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scott N McClary DMD Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366562548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SPRUILL AVENUE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-744-0311",
            "fax_number": "843-744-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 SPRUILL AVENUE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-744-0311",
            "fax_number": "843-744-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWERIN",
        "first_name": "NOLAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "1291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.