Individual provider Active NPI

Austin William Schaar, D.D.S.

  • Dentist
  • Tacoma, WA
National Provider Identifier
1679905434
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021041 Issued in MI
Practice address
Building 9900, 2ND Floor
Tacoma, WA 98431
Phone
(253) 968-4035
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021041 MI Primary

Addresses

Primary practice location

Building 9900, 2ND Floor
Tacoma, WA 98431

Mailing address

CMR 427 Box 2645
Apo Ae
Vicenza, VENETO 09630
IT

Other identifiers 2

IdentifierTypeStateIssuer
D10793OtherORMILITARY
2901021041OtherMIMILITARY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20190426001871 OR Order and Referring Only - DentistPractitioner - Dentist 0941542765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021041MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1679905434",
    "addresses": [
        {
            "country_code": "IT",
            "country_name": "Italy",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CMR 427 BOX 2645",
            "address_2": "APO AE",
            "city": "VICENZA",
            "state": "VENETO",
            "postal_code": "09630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 9900, 2ND FLOOR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAR",
        "first_name": "AUSTIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY",
            "identifier": "D10793",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY",
            "identifier": "2901021041",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.