Individual provider Active NPI

Richard M Schwarcz, D.D.S

  • Dentist
  • Center Line, MI
National Provider Identifier
1629086863
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901015063 Issued in MI
Practice address
25529 Van Dyke Ave
Center Line, MI 48015-1848
Phone
(586) 757-3373
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 2901015063 MI Primary

Addresses

Primary practice location

25529 Van Dyke Ave
Center Line, MI 48015-1848

Mailing address

26250 Raine St
Oak Park, MI 48237-1058
Phone (586) 855-3771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151215002580 MI Order and Referring Only - DentistPractitioner - Dentist 9830373828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901015063MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Family Dental PLLC CurrentSince Feb 16, 2011 Accepting new patients

Locations

25529 Van Dyke Ave
Center Line, MI 48015
Phone (586) 757-3373

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629086863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 RAINE ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371058",
            "telephone_number": "586-855-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25529 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151848",
            "telephone_number": "586-757-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARCZ",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

Verify at the official NPI Registry.