Active NPI
William Theodore Schwartz II, DDS
- Endodontics
- Eustis, FL
National Provider Identifier
1437370640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN5060
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160629002785 | FL | Order and Referring Only - Other (Physician) | 0648562249 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G10000768 | DE | MD | Endodontist |
| DS017117L | PA | MD | Endodontist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.