Individual provider Active NPI

Tammi Jo Schaeferle, DDS

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1740376417
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21007 Issued in OH
Practice address
4147 N High St
Columbus, OH 43214-3001
Phone
(614) 263-0300
Fax
(614) 263-7914
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 21007 OH Primary

Addresses

Primary practice location

4147 N High St
Columbus, OH 43214-3001

Mailing address

4147 N High St
Columbus, OH 43214-3001
Phone (614) 263-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160729002263 OH Order and Referring Only - DentistPractitioner - Dentist 2062705965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21007OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Schaeferle & Schaeferle Family Dental Care Past Accepting new patients
Schaeferle & Schaeferle Advanced Cosmetic and Family Dental Care 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740376417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143001",
            "telephone_number": "614-263-0300",
            "fax_number": "614-263-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143001",
            "telephone_number": "614-263-0300",
            "fax_number": "614-263-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFERLE",
        "first_name": "TAMMI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.