Travis Schwanzer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02832000 Issued in NJ

Practice address

7 S Ohio Ave Ste 1100
Atlantic City, NJ 08401-6711

Phone

(609) 641-1462

NPI assigned

Mar 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

• Atlanticare Health Services, Inc.

  • Clinic/Center
  • Atlantic City, NJ
  • NPI 1215987771
  Medicare reassignment NPD
• Paul H. Goodman, D.D.S. and Jay L. Rosenberg, D.D.S., L.L.C.

  • General Practice Dentistry
  • Pleasantville, NJ
  • NPI 1295954071
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1730683111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 S MAIN ST",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323514",
            "telephone_number": "609-641-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S OHIO AVE STE 1100",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016711",
            "telephone_number": "609-641-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWANZER",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02832000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Joanna Scheets, DO
• Elizabeth Anne Peters Schellhammer
• Clarence D Schenker Jr., RPH
• Melissa Schmidt
• Michael Joseph Schuman, CRNA
• Vicki Schwartz
• Marisa B Scibilia, APN
• David Scott, PA-C
• Seashore Physical Therapy LLC
• Henry Edward Seibert, M.D.

• General Practice Dentistry in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.