Schumacher Dental Center, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10152 Issued in FL

Legal business name

SCHUMACHER DENTAL CENTER, PA

Practice address

4201 Roosevelt Blvd
Jacksonville, FL 32210-2027

Phone

(904) 388-3559

Fax

(904) 389-8562

NPI assigned

Apr 25, 2007

Last updated

Feb 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James L Schumacher, DMDNPI 1316080567

Title

Chief Executive Officer

Phone

(904) 388-3559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• James L. Schumacher, DMD

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1316080567
  NPD (past) Authorized official
• Broc A Flores, DMD

  • Dentist
  • NPI 1659711125
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1750500963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ROOSEVELT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102027",
            "telephone_number": "904-388-3559",
            "fax_number": "904-389-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ROOSEVELT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102027",
            "telephone_number": "904-388-3559",
            "fax_number": "904-389-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUMACHER DENTAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "904-388-3559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "10152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST GENERAL PRACTICE",
            "identifier": "1223G0001X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Sue Schultz, PA-C
• Cary Thomas Schultz, CRNA
• Daniel Alexander Schultz, PHARMD
• Jeffrey B. Schultz, D.D.S.
• Jessica Lynn Schultz, RBT
• James L. Schumacher, DMD
• Nicholas Edward Schumacher, DC
• Nicole Schumaker, RN
• William James Schuman, RD, LD
• Kristin Rose Schumann, D.O.

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, 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 Feb 16, 2015; 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.