Individual provider Active NPI

James B Schwartz, DDS

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1770701377
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9606 Issued in NC
Practice address
17214 Lancaster Hwy
Suite 306
Charlotte, NC 28277-2008
Phone
(704) 752-7602
Fax
(704) 752-7605
NPI assigned
Apr 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401006610 VA
General Practice Dentistry 1223G0001X 9606 NC Primary

Addresses

Primary practice location

17214 Lancaster Hwy
Suite 306
Charlotte, NC 28277-2008

Mailing address

17214 Lancaster Hwy
Suite 306
Charlotte, NC 28277-2008
Phone (704) 752-7602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180306000939 NC Order and Referring Only - DentistPractitioner - Dentist 7719248863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9606NCMDGeneral Practice Dentistry
0401006610VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1770701377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17214 LANCASTER HWY",
            "address_2": "SUITE 306",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772008",
            "telephone_number": "704-752-7602",
            "fax_number": "704-752-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17214 LANCASTER HWY",
            "address_2": "SUITE 306",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772008",
            "telephone_number": "704-752-7602",
            "fax_number": "704-752-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006610",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.