Robbie Schaack DDS

Primary specialty

DentistTaxonomy code 122300000X

License

31152 Issued in TX

Legal business name

ROBBIE SCHAACK DDS

Practice address

8434 FM 2673
Canyon Lake, TX 78133-6426

Phone

(801) 787-8239

NPI assigned

Jan 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Justin Robert Schaack, DDS

Title

Owner Dentist

Phone

(801) 787-8239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1851837397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 PINION TRL",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786764931",
            "telephone_number": "801-787-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8434 FM 2673",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781336426",
            "telephone_number": "801-787-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBIE SCHAACK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "SCHAACK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "801-787-8239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "31152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.