Individual provider Active NPI

Sandra Jean Gschwind, DDS

  • General Practice Dentistry
  • Marine City, MI
National Provider Identifier
1851301402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015324 Issued in MI
Practice address
342 W Saint Clair St
Marine City, MI 48039-3544
Phone
(810) 765-9200
Fax
(810) 765-6460
NPI assigned
Aug 8, 2006
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
General Practice Dentistry 1223G0001X 2901015324 MI Primary

Addresses

Primary practice location

342 W Saint Clair St
Marine City, MI 48039-3544

Mailing address

998 Highland Dr
Saint Clair, MI 48079-4294
Phone (810) 326-0225

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
I20160817002321 MI Order and Referring Only - DentistPractitioner - Dentist 7315232295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beauchamp, Gauss, Gschwind PLLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851301402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 HIGHLAND DR",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480794294",
            "telephone_number": "810-326-0225",
            "fax_number": "810-765-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 W SAINT CLAIR ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393544",
            "telephone_number": "810-765-9200",
            "fax_number": "810-765-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GSCHWIND",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marine City, MI

Sources for this page

Verify at the official NPI Registry.