Individual provider Active NPI

Jeffrey W Schlotman, D.M.D.

  • General Practice Dentistry
  • White Plains, NY
National Provider Identifier
1619072865
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
030499 Issued in NY
Practice address
95 Church St
Suite 405
White Plains, NY 10601-1515
Phone
(914) 948-2668
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 030499 NY Primary

Addresses

Primary practice location

95 Church St
Suite 405
White Plains, NY 10601-1515

Mailing address

95 Church St
Suite 405
White Plains, NY 10601-1515
Phone (914) 948-2668

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
I20160518001072 NY Order and Referring Only - DentistPractitioner - Dentist 6709175508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619072865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHURCH ST",
            "address_2": "SUITE 405",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011515",
            "telephone_number": "914-948-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHURCH ST",
            "address_2": "SUITE 405",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011515",
            "telephone_number": "914-948-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOTMAN",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.