Individual provider Active NPI

William Theodore Schwartz II, DDS

  • Endodontics
  • Eustis, FL
National Provider Identifier
1437370640
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN5060 Issued in FL
Practice address
15455 US Highway 441
Eustis, FL 32726-8321
Phone
(352) 399-0911
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN5060 FL Primary
Endodontics 1223E0200X DS017117L PA
Endodontics 1223E0200X G10000768 DE

Addresses

Primary practice location

15455 US Highway 441
Eustis, FL 32726-8321

Mailing address

15455 US Highway 441
Eustis, FL 32726-8321
Phone (352) 399-0911

Other names 1

  • W Theodore Schwartz II Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160629002785 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0648562249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G10000768DEMDEndodontist
DS017117LPAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1437370640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 US HIGHWAY 441",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327268321",
            "telephone_number": "352-399-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 US HIGHWAY 441",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327268321",
            "telephone_number": "352-399-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "WILLIAM",
        "middle_name": "THEODORE",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN5060",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS017117L",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "DE",
            "license": "G10000768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W",
            "last_name": "SCHWARTZ",
            "middle_name": "THEODORE",
            "suffix": "II",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.