Individual provider Active NPI

Amichai D Schwarcz, D.D.S

  • Dentist
  • East Lansing, MI
National Provider Identifier
1780175521
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022622 Issued in MI
Practice address
3515 Coolidge Rd Ste C
East Lansing, MI 48823-8014
Phone
(517) 332-2422
NPI assigned
May 29, 2018
Last updated
May 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022622 MI Primary

Addresses

Primary practice location

3515 Coolidge Rd Ste C
East Lansing, MI 48823-8014

Mailing address

13127 Winchester Ave
Huntington Woods, MI 48070-1726
Phone (248) 765-6634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901022622MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1780175521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13127 WINCHESTER AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701726",
            "telephone_number": "248-765-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 COOLIDGE RD STE C",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238014",
            "telephone_number": "517-332-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARCZ",
        "first_name": "AMICHAI",
        "middle_name": "D",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.