Theodore Daniel Schwab, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

06001 Issued in NY

Practice address

115 E 61St St Ste 6D
New York, NY 10065-8185

Phone

(646) 796-8797

NPI assigned

Nov 24, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1427715432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST STE 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658185",
            "telephone_number": "646-796-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST STE 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658185",
            "telephone_number": "646-796-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "THEODORE",
        "middle_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "06001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Manuel Schvartzman Krimer, MD PHD
• Frank Johann Schwab, MD
• Ida Ellen Schwab, M.D.
• Lawrence Bruce Schwab, D.D.S.
• Ronit Ashbal Schwab, LCSW
• Aaron Schwabacher, DPT
• Audrey Olivera Schwabe, M.D.
• Ross Schwaber
• Ronald Russell Schwalb, D.D.S.
• Skylar Schwalb

• Orthodontics and Dentofacial Orthopedics Dentistry in New York, NY
• Providers in New York, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.