Individual provider Active NPI

Derek Vincent Schop, DMD

  • Dentist
  • Tucson, AZ
National Provider Identifier
1407817935
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5135 Issued in AZ
Practice address
899 N Wilmot Rd
Suite B3
Tucson, AZ 85711-1714
Phone
(520) 881-7084
NPI assigned
Apr 2, 2006
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 5135 AZ Primary

Addresses

Primary practice location

899 N Wilmot Rd
Suite B3
Tucson, AZ 85711-1714

Mailing address

899 N Wilmot Rd
Suite B3
Tucson, AZ 85711-1714
Phone (520) 881-7084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240320000000 VA Practitioner - Dentist 1355380510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5135AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC CurrentSince Jan 30, 2024 Accepting new patients
CMH Physician Services, LLC CurrentSince Jan 30, 2024 Accepting new patients

Locations

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Organizations & group practices 2

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": "1143936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407817935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N WILMOT RD",
            "address_2": "SUITE B3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111714",
            "telephone_number": "520-881-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N WILMOT RD",
            "address_2": "SUITE B3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111714",
            "telephone_number": "520-881-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOP",
        "first_name": "DEREK",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.