Active NPI
Eric T Schimpfhauser, D.D.S.
- General Practice Dentistry
- Waxhaw, NC
National Provider Identifier
1679654859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7029
- Practice address
- 8175 Kensington Dr
#A
Waxhaw, NC 28173-0103 - Phone
- (704) 843-3270
- Fax
- (704) 843-0412
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7029 | NC | Primary |
Addresses
Primary practice location
8175 Kensington Dr
#A
Waxhaw, NC 28173-0103
Mailing address
8175-A Kensington Dr.
Cureton Town Center
Waxhaw, NC 28173
Phone (704) 843-3270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150918002756 | NC | Order and Referring Only - Oral Surgery | 0143537464 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7029 | NC | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1679654859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8175-A KENSINGTON DR.",
"address_2": "CURETON TOWN CENTER",
"city": "WAXHAW",
"state": "NC",
"postal_code": "28173",
"telephone_number": "704-843-3270",
"fax_number": "704-843-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8175 KENSINGTON DR",
"address_2": "#A",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730103",
"telephone_number": "704-843-3270",
"fax_number": "704-843-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMPFHAUSER",
"first_name": "ERIC",
"middle_name": "T",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
- Sandra McDaniel Ruocco, D.D.S.
- Kelly Sanfilippo, PHARMD
- Randilyn Sasser
- Joseph H Saturley, PH.D.
- Schimpfhauser and Haller, PLLC (Cureton Cosmetic and Family Dentistry)
- Kathryn Rosalie Schnapp, MD
- Mark Steven Schoen, ATC, CSCS
- Grace Madeline Schubert
- Scott's Ancillary Services, Inc.
- Scott's Ancillary Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.