Active NPI
Auguste Schwalenberg, DDS
- General Practice Dentistry
- Vail, AZ
National Provider Identifier
1437643582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10493
- Practice address
- 13410 E Mary Ann Cleveland Way
Vail, AZ 85641-8613 - Phone
- (816) 769-4582
- NPI assigned
- Jun 20, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10493 | AZ | Primary |
Addresses
Primary practice location
13410 E Mary Ann Cleveland Way
Vail, AZ 85641-8613
Mailing address
13410 E Mary Ann Cleveland Way
Vail, AZ 85641-8613
Phone (816) 769-4582
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10493 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alex Sharifian DDS Lindenwood Dentistry, PC | General Practice | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- St. Charles, MO
- NPI 1518412527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1437643582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13410 E MARY ANN CLEVELAND WAY",
"city": "VAIL",
"state": "AZ",
"postal_code": "856418613",
"telephone_number": "816-769-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13410 E MARY ANN CLEVELAND WAY",
"city": "VAIL",
"state": "AZ",
"postal_code": "856418613",
"telephone_number": "816-769-4582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWALENBERG",
"first_name": "AUGUSTE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "10493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vail, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.