Thomas V. Schaberg, D.D.S. M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

13156 Issued in MO

Practice address

77 Westport PLZ
Suite 367
Saint Louis, MO 63146-3107

Phone

(314) 434-4676

Fax

(314) 434-6806

NPI assigned

Jan 5, 2007

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 MO

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

Credentials

Master of Science

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.

• Aaron G Campbell Periodontics LLC

  • Periodontics
  • Saint Louis, MO
  • NPI 1225715303
  NPD (past)
• Westport Periodontics P.C.

  • Periodontics
  • Saint Louis, MO
  • NPI 1902953391
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649327057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WESTPORT PLZ",
            "address_2": "SUITE 367",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463107",
            "telephone_number": "314-434-4676",
            "fax_number": "314-434-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WESTPORT PLZ",
            "address_2": "SUITE 367",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463107",
            "telephone_number": "314-434-4676",
            "fax_number": "314-434-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHABERG",
        "first_name": "THOMAS",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.D.S. M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "13156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Scatcherd, R.N.
• Stacy L Scatcherd, BS IN PHARMACY
• Roman Alexander Scaturro, BS
• Courtney Vallade Scavotto, LCSW
• Jason Steven Schaal, RPH
• Judy Catherine Schachner, PTA
• Lawrence Richard Schacht, M.D.
• Megan Schacht, PH.D.
• Joseph Schachter, M.D.
• Willard Schachter, RPH

• Periodontics in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Periodontics in Missouri

• 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.