Individual provider Active NPI

Alexandra Maria Schutz, DDS

  • General Practice Dentistry
  • Lexington, SC
National Provider Identifier
1710464953
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9487 Issued in SC
Practice address
5443 Platt Springs Rd
Lexington, SC 29073
Phone
(803) 470-5067
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN015722 GA
General Practice Dentistry 1223G0001X DN015722 GA
General Practice Dentistry 1223G0001X 9487 SC Primary

Addresses

Primary practice location

5443 Platt Springs Rd
Lexington, SC 29073

Mailing address

5443 Platt Springs Rd
Lexington, SC 29073-6203
Phone (240) 925-6493

Other practice location 1

1001 N Peachtree Pkwy
Peachtree City, GA 30269-4210
Phone (770) 268-9112

Other practice location 2

1001 N Peachtree Pkwy
Peachtree City, GA 30269-4210
Phone (770) 268-9112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20181213001611 GA Order and Referring Only - DentistPractitioner - Dentist 3870838246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN015722GAMDDentist
9487SCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1710464953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5443 PLATT SPRINGS RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290736203",
            "telephone_number": "240-925-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 PLATT SPRINGS RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29073",
            "telephone_number": "803-470-5067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302694210",
            "country_code": "US",
            "telephone_number": "770-268-9112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 N Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302694210",
            "country_code": "US",
            "telephone_number": "770-268-9112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUTZ",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015722",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015722",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.