Active NPI
Robert James Schiffel, DDS
- General Practice Dentistry
- Wilmington, NC
National Provider Identifier
1790836476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5527
- Practice address
- 4316 Henson Dr
Wilmington, NC 28405-7424 - Phone
- (910) 395-1585
- Fax
- (910) 392-5249
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5527 | NC | Primary |
Addresses
Primary practice location
4316 Henson Dr
Wilmington, NC 28405-7424
Mailing address
4316 Henson Dr
Wilmington, NC 28405-7424
Phone (910) 395-1585
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8997604 | Medicaid | NC | |
| 182423 | Other | NC | UNITED CONCORDIA |
| 97604 | Other | NC | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790836476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4316 HENSON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284057424",
"telephone_number": "910-395-1585",
"fax_number": "910-392-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4316 HENSON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284057424",
"telephone_number": "910-395-1585",
"fax_number": "910-392-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIFFEL",
"first_name": "ROBERT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8997604",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "182423",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "97604",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.