Individual provider Active NPI

Alexander Rene Schrott, DMD, MMSC

  • Periodontics
  • Belmont, MA
National Provider Identifier
1700148319
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN1855990 Issued in MA
Practice address
93 Concord Ave
Unit 6
Belmont, MA 02478-4044
Phone
(617) 484-9240
Fax
(617) 484-4008
NPI assigned
Jun 10, 2012
Last updated
Oct 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN1855990 MA Primary

Addresses

Primary practice location

93 Concord Ave
Unit 6
Belmont, MA 02478-4044

Mailing address

93 Concord Ave
Unit 6
Belmont, MA 02478-4044
Phone (617) 484-9240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150323001488 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5597082040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855990MAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Schrott Perio Implants, LLC Periodontics Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1700148319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 CONCORD AVE",
            "address_2": "UNIT 6",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784044",
            "telephone_number": "617-484-9240",
            "fax_number": "617-484-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 CONCORD AVE",
            "address_2": "UNIT 6",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784044",
            "telephone_number": "617-484-9240",
            "fax_number": "617-484-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROTT",
        "first_name": "ALEXANDER",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DMD, MMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-10",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1855990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

Verify at the official NPI Registry.