Active NPI
Kellie Rose Schwalbach, D.D.S.
- Dentist
- Chillicothe, OH
National Provider Identifier
1528594553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30025059
- Practice address
- 30 N Walnut St
Chillicothe, OH 45601-3114 - Phone
- (740) 497-0894
- NPI assigned
- May 11, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30025059 | OH | Primary |
Addresses
Primary practice location
30 N Walnut St
Chillicothe, OH 45601-3114
Mailing address
946 Circle Dr
Circleville, OH 43113-1418
Phone (740) 497-0894
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 |
|---|---|---|---|
| 30025059 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chillicothe Family Dental, LLC | Current | Accepting new patients | |
| Great Seal Dental Surgery, LLC | Dentist | Current | Accepting new patients |
Locations
30 N Walnut St
Chillicothe, OH 45601
Phone (740) 497-0894
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Chillicothe, OH
- NPI 1912477977
-
- Dentist
- Chillicothe, OH
- NPI 1578310413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1528594553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "946 CIRCLE DR",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431131418",
"telephone_number": "740-497-0894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N WALNUT ST",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456013114",
"telephone_number": "740-497-0894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWALBACH",
"first_name": "KELLIE",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30025059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.