Individual provider Active NPI

Eva Taub Schwartz, DDS

  • Dentist
  • Oak Park, MI
National Provider Identifier
1801922133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14586 Issued in MI
Practice address
13741 W 11 Mile Rd
Oak Park, MI 48237
Phone
(248) 398-5400
Fax
(248) 398-4752
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14586 MI Primary

Addresses

Primary practice location

13741 W 11 Mile Rd
Oak Park, MI 48237

Mailing address

13741 W 11 Mile Rd
Oak Park, MI 48237
Phone (248) 398-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20161011003132 MI Order and Referring Only - DentistPractitioner - Dentist 3476841206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14586MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fortson Dental Oak Park P.C. Past Accepting new patients
Dr Eva T Schwartz DDS PC Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801922133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13741 W 11 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "48237",
            "telephone_number": "248-398-5400",
            "fax_number": "248-398-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13741 W 11 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "48237",
            "telephone_number": "248-398-5400",
            "fax_number": "248-398-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "EVA",
        "middle_name": "TAUB",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "14586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.