Active NPI
Jacob Allen Schisler, DMD
- Dentist
- Fort Stewart, GA
National Provider Identifier
1578087540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8940
- Practice address
- US Army Dental Health Activity
1061 Harmon Avenue
Fort Stewart, GA 31314 - Phone
- (912) 435-7006
- NPI assigned
- Aug 1, 2017
- Sex
- Male
- 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 | 8940 | SC | Primary |
Addresses
Primary practice location
US Army Dental Health Activity
1061 Harmon Avenue
Fort Stewart, GA 31314
Mailing address
1061 Harmon Avenue
US Army Dental Health Activity
Fort Stewart, GA 31314
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 |
|---|---|---|---|
| 8940 | SC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1578087540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 HARMON AVENUE",
"address_2": "US ARMY DENTAL HEALTH ACTIVITY",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "31314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US ARMY DENTAL HEALTH ACTIVITY",
"address_2": "1061 HARMON AVENUE",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "31314",
"telephone_number": "912-435-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHISLER",
"first_name": "JACOB",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.