Organization Active NPI

David J. Schickner, M.D. , P.a.

  • Specialist
  • Waco, TX
National Provider Identifier
1710201926
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J3597 Issued in TX
Legal business name
DAVID J. SCHICKNER, M.D. , P.A.
Practice address
1105 Wooded Acres Dr Ste 240
Waco, TX 76710-4449
Phone
(254) 292-1090
Fax
(254) 292-1100
NPI assigned
Mar 16, 2010
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Dr. David J. Schickner, M.D.NPI 1508975756
Title
President
Phone
(254) 292-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J3597 TX Primary

Addresses

Primary practice location

1105 Wooded Acres Dr Ste 240
Waco, TX 76710-4449

Mailing address

PO Box 20635
Waco, TX 76702-0635
Phone (254) 292-1090

National Provider Directory

National Provider Directory

Locations

1105 Wooded Acres Dr
Ste 240
Waco, TX 76710
Phone (254) 292-1090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1710201926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20635",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767020635",
            "telephone_number": "254-292-1090",
            "fax_number": "254-292-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WOODED ACRES DR STE 240",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104449",
            "telephone_number": "254-292-1090",
            "fax_number": "254-292-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. SCHICKNER, M.D. , P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "SCHICKNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-292-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.