Individual provider Active NPI

Ann Elizabeth Schwab-Davis, DDS

  • General Practice Dentistry
  • Clarence Center, NY
National Provider Identifier
1851436331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0454671 Issued in NY
Practice address
5945 Goodrich Rd
Clarence Center, NY 14032-9710
Phone
(716) 741-2835
Fax
(716) 741-8154
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

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 0454671 NY Primary

Addresses

Primary practice location

5945 Goodrich Rd
Clarence Center, NY 14032-9710

Mailing address

5945 Goodrich Rd
P.O.Box 53
Clarence Center, NY 14032-9710
Phone (716) 741-2835

Other identifiers 2

IdentifierTypeStateIssuer
4001415OtherNYINDEPENDENT HEALTH
01501275MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160208000183 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3476857772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0454671NYMDGeneral Practice Dentistry
045467NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob a. Graca, DDS PLLC PastSince Jun 3, 2025 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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851436331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 GOODRICH RD",
            "address_2": "P.O.BOX 53",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329710",
            "telephone_number": "716-741-2835",
            "fax_number": "716-741-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 GOODRICH RD",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329710",
            "telephone_number": "716-741-2835",
            "fax_number": "716-741-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB-DAVIS",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0454671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "4001415",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01501275",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence Center, NY

Sources for this page

Verify at the official NPI Registry.