Myron Daniel Schrock, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0013527 Issued in FL

Practice address

17470 Main St N
Blountstown, FL 32424-1772

Phone

(850) 237-1400

Fax

(850) 237-1403

NPI assigned

Jan 1, 2007

Last updated

Nov 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Myron D. Schrock, D.M.D., P.a.

  • General Practice Dentistry
  • Blountstown, FL
  • NPI 1184911745
  NPD (past) Authorized official

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1730245846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17470 MAIN ST N",
            "address_2": "P.O. BOX 4011",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241772",
            "telephone_number": "850-237-1400",
            "fax_number": "850-237-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17470 MAIN ST N",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241772",
            "telephone_number": "850-237-1400",
            "fax_number": "850-237-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "MYRON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074702500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ropers Personal Home Care
• Maegan D. Russell
• Brooke Revell Sansom, APRN
• Sarah a Roper (Rivertown Senior Care)
• Keven Mickel Schock, M.A.
• Jennifer Michele Scott, PA-C
• Senior Dental Care
• Senior Dental Care of Iowa
• Senior Dental Care of Louisiana
• Senior Dental Care, LLC (Senior Dental Care)

• General Practice Dentistry in Blountstown, FL
• Providers in Blountstown, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.