Individual provider Active NPI

Earl J Schandle, D.D.S.

  • General Practice Dentistry
  • St Petersburg, FL
National Provider Identifier
1851697163
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7856 Issued in FL
Practice address
6715 4TH St N
St Petersburg, FL 33702-6842
Phone
(727) 522-5005
NPI assigned
Feb 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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 7856 FL Primary

Addresses

Primary practice location

6715 4TH St N
St Petersburg, FL 33702-6842

Mailing address

6715 4TH St N
St Petersburg, FL 33702-6842
Phone (727) 522-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160615001071 FL Order and Referring Only - DentistPractitioner - Dentist 7315238730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7856FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1851697163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337026842",
            "telephone_number": "727-522-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337026842",
            "telephone_number": "727-522-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANDLE",
        "first_name": "EARL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "7856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.