Individual provider Active NPI

Matthew Owen Schwedfeger, DDS

  • General Practice Dentistry
  • Pittsford, NY
National Provider Identifier
1578882262
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055526 Issued in NY
Practice address
20 N Main St
Pittsford, NY 14534-1303
Phone
(585) 385-2033
Fax
(585) 385-9210
NPI assigned
May 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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 055526 NY Primary

Addresses

Primary practice location

20 N Main St
Pittsford, NY 14534-1303

Mailing address

20 N Main St
Pittsford, NY 14534-1303
Phone (585) 385-2033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150708002170 NY Order and Referring Only - DentistPractitioner - Dentist 2668784380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
055526NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Schwedfeger DDS, PC General Practice PastSince Jan 1, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1578882262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N MAIN ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341303",
            "telephone_number": "585-385-2033",
            "fax_number": "585-385-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N MAIN ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341303",
            "telephone_number": "585-385-2033",
            "fax_number": "585-385-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEDFEGER",
        "first_name": "MATTHEW",
        "middle_name": "OWEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.