Paul Schloth, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN 13166 Issued in FL

Practice address

12086 Fort Caroline Rd
Suite 105
Jacksonville, FL 32225-2687

Phone

(904) 807-9127

Fax

(904) 807-9129

NPI assigned

Oct 29, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hidden Hills Family Dentistry

  • Dentist
  • Jacksonville, FL
  • NPI 1871647255
  NPD (past) Authorized official

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1508110602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD",
            "address_2": "SUITE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252687",
            "telephone_number": "904-807-9127",
            "fax_number": "904-807-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD",
            "address_2": "SUITE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252687",
            "telephone_number": "904-807-9127",
            "fax_number": "904-807-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOTH",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 13166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "DN 13166",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandt Matthew Schlegel
• Devon Schlegel, ATR-BC, LPC, LMHC
• Danielle Nicole Schlittler
• Beth Renae Schlomer, RN, NNP-BC
• Brooke Schloth Gilligan, DMD
• Rachel Marie Schloth, DMD
• Arlene G Schlumbohm, DO
• Alexus Schmidt
• Allison Gould Schmidt, M.D.
• Andrew Schmidt, D.O.

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.