Individual provider Active NPI

William Reeves Schwartz, DDS

  • General Practice Dentistry
  • Steamboat Springs, CO
National Provider Identifier
1710045075
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8245 Issued in CO
Practice address
1475 Pine Grove Road #107
Steamboat Springs, CO 80487-8803
Phone
(970) 879-1959
Fax
(970) 879-7973
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8245 CO Primary

Addresses

Primary practice location

1475 Pine Grove Road #107
Steamboat Springs, CO 80487-8803

Mailing address

1475 Pine Grove Road #107
Steamboat Springs, CO 80487-8803
Phone (970) 879-1959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160629003027 MN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0042502650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8245COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Grove Dental Arts Past Accepting new patients
Pine Grove Dental Associates General Practice Past Accepting new patients

Organizations & group practices 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710045075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 PINE GROVE ROAD #107",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878803",
            "telephone_number": "970-879-1959",
            "fax_number": "970-879-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 PINE GROVE ROAD #107",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878803",
            "telephone_number": "970-879-1959",
            "fax_number": "970-879-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "WILLIAM",
        "middle_name": "REEVES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.