Individual provider Active NPI

Stephen Michael Schwarcz, D.D.S.

  • General Practice Dentistry
  • Alamo, CA
National Provider Identifier
1770788283
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30120 Issued in CA
Practice address
2464 Alamo Glen Dr
Alamo, CA 94507-2771
Phone
(510) 409-2005
NPI assigned
Jun 15, 2007
Last updated
Nov 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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 30120 CA Primary

Addresses

Primary practice location

2464 Alamo Glen Dr
Alamo, CA 94507-2771

Mailing address

2464 Alamo Glen Dr
Alamo, CA 94507-2771
Phone (510) 409-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150707003360 CA Order and Referring Only - DentistPractitioner - Dentist 8022320878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M. Schwarcz, D.D.S. and Associates, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1770788283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 ALAMO GLEN DR",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945072771",
            "telephone_number": "510-409-2005",
            "fax_number": "510-855-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 ALAMO GLEN DR",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945072771",
            "telephone_number": "510-409-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARCZ",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, CA

Sources for this page

Verify at the official NPI Registry.