NPIMap

Organization Active NPI

Schwartz & Miller Family Dentistry

  • General Practice Dentistry
  • Pekin, IL
National Provider Identifier
1598815813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCHWARTZ & MILLER FAMILY DENTISTRY
Practice address
1245 Florence Ave
Pekin, IL 61554-2325
Phone
(309) 346-3175
Fax
(309) 346-5094
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timmothy Jay Schwartz, DDSNPI 1336299643
Title
President
Phone
(309) 346-3175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

1245 Florence Ave
Pekin, IL 61554-2325

Mailing address

1245 Florence Ave
Pekin, IL 61554-2325
Phone (309) 346-3175

National Provider Directory

National Provider Directory

Locations

1245 Florence Ave
Pekin, IL 61554
Phone (309) 346-3174

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598815813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 FLORENCE AVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615542325",
            "telephone_number": "309-346-3175",
            "fax_number": "309-346-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 FLORENCE AVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615542325",
            "telephone_number": "309-346-3175",
            "fax_number": "309-346-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWARTZ & MILLER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "TIMMOTHY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-346-3175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.