Individual provider Active NPI

David Alan Schwartz, DDS

  • Dentist
  • West Lawn, PA
National Provider Identifier
1497770606
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS-027306-L Issued in PA
Practice address
701 Jefferson Blvd
West Lawn, PA 19609-2332
Phone
(610) 670-6910
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS-027306-L PA Primary

Addresses

Primary practice location

701 Jefferson Blvd
West Lawn, PA 19609-2332

Mailing address

701 Jefferson Blvd
West Lawn, PA 19609-2332
Phone (610) 670-6910

Other identifiers 2

IdentifierTypeStateIssuer
181597OtherPABLUE SHIELD PROVIDER #
DS-027306-LOtherPASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150408000238 PA Order and Referring Only - DentistPractitioner - Dentist 5799003539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1497770606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 JEFFERSON BLVD",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196092332",
            "telephone_number": "610-670-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 JEFFERSON BLVD",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196092332",
            "telephone_number": "610-670-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-027306-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "181597",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DS-027306-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lawn, PA

Sources for this page

Verify at the official NPI Registry.