Eli C Schneider, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12182 Issued in MA

Practice address

851 Main St Ste 3
Nevin Professional Building
South Weymouth, MA 02190-1613

Phone

(781) 331-0140

Fax

(781) 337-4700

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Dentistry for Children PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • So Weymouth, MA
  • NPI 1962422782

  Pediatric Dentistry

  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588686141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MAIN ST STE 3",
            "address_2": "NEVIN PROFESSIONAL BUILDING",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901613",
            "telephone_number": "781-331-0140",
            "fax_number": "781-337-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MAIN ST STE 3",
            "address_2": "NEVIN PROFESSIONAL BUILDING",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901613",
            "telephone_number": "781-331-0140",
            "fax_number": "781-337-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ELI",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "12182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Annabelle Ryan
• Amodhya Samarakoon
• Bradford C Sampson, M.D.
• Gaia Sartorelli
• Rosemarie Tripodi Scarpa, RD
• Travis E. Schoen, MSPT, PT
• Paul J. Schubert, MD
• Kristin McAllister Schultz, PSYD
• Sarah M Sciascia, MD
• Caitlin Segarra

• Pediatric Dentistry in South Weymouth, MA
• Providers in South Weymouth, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.