Individual provider Active NPI

David Harry Schiff, D.D.S.

  • General Practice Dentistry
  • Berlin, MD
National Provider Identifier
1487791141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8125 Issued in MD
Practice address
11200 Racetrack Rd Ste A103
Berlin, MD 21811-3809
Phone
(410) 641-0334
Fax
(410) 641-0335
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8125 MD Primary

Addresses

Primary practice location

11200 Racetrack Rd Ste A103
Berlin, MD 21811-3809

Mailing address

12540 River Run LN Unit 99
Berlin, MD 21811-3800
Phone (410) 641-5840

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

LicenseStateTypeSpecialty
8125MDMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487791141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12540 RIVER RUN LN UNIT 99",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113800",
            "telephone_number": "410-641-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 RACETRACK RD STE A103",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113809",
            "telephone_number": "410-641-0334",
            "fax_number": "410-641-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFF",
        "first_name": "DAVID",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.