NPIMap

Organization Active NPI

R. Jason Schnepf DDS

  • General Practice Dentistry
  • Griffith, IN
National Provider Identifier
1457573669
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010464A Issued in IN
Legal business name
R. JASON SCHNEPF DDS
Practice address
423 N Broad St
Griffith, IN 46319-2223
Phone
(219) 922-7870
Fax
(219) 922-8056
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. R Jason Schnepf, DDSNPI 1518031590
Title
Dentist
Phone
(219) 922-7870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12010464A IN Primary

Addresses

Primary practice location

423 N Broad St
Griffith, IN 46319-2223

Mailing address

423 N Broad St
Griffith, IN 46319-2223
Phone (219) 922-7870

Other names 1

  • Broad Smile Dental Other name

National Provider Directory

National Provider Directory

Locations

423 N Broad St
Griffith, IN 46319
Phone (219) 922-7870

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1457573669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N BROAD ST",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463192223",
            "telephone_number": "219-922-7870",
            "fax_number": "219-922-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N BROAD ST",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463192223",
            "telephone_number": "219-922-7870",
            "fax_number": "219-922-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. JASON SCHNEPF DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "SCHNEPF",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "219-922-7870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010464A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broad Smile Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Griffith, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.