Individual provider Active NPI

Carlton S. Schwartz Jr., D.D.S.

  • General Practice Dentistry
  • Panama City Beach, FL
National Provider Identifier
1619023413
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN5318 Issued in FL
Practice address
3135 Thomas Dr
Panama City Beach, FL 32408-6256
Phone
(850) 249-9311
Fax
(850) 249-9312
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 DN5318 FL Primary

Addresses

Primary practice location

3135 Thomas Dr
Panama City Beach, FL 32408-6256

Mailing address

3135 Thomas Dr
Panama City Beach, FL 32408-6256
Phone (850) 249-9311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170801002339 FL Order and Referring Only - DentistPractitioner - Dentist 2668743238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN5318FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Dental Spa General Practice Past Accepting new patients
Emerald Coast Dental Sleep Medicine Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619023413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324086256",
            "telephone_number": "850-249-9311",
            "fax_number": "850-249-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324086256",
            "telephone_number": "850-249-9311",
            "fax_number": "850-249-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "CARLTON",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN5318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.