Individual provider Active NPI

Stephen Matthew Schacht, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
National Provider Identifier
1861695462
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN19288 Issued in FL
Practice address
130 Rampart Way Ste 100
Denver, CO 80230-6443
Phone
(303) 341-7151
NPI assigned
Jun 9, 2007
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN19288 FL Primary

Addresses

Primary practice location

130 Rampart Way Ste 100
Denver, CO 80230-6443

Mailing address

651 Okeechobee Blvd
Unit #806
West Palm Beach, FL 33401-6060
Phone (305) 450-9515

Other identifiers 1

IdentifierTypeStateIssuer
SWMC 249-XOtherINSTITUTIONAL PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523001304 CO Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2860649019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
S. Matt Schacht, D.D.S., Professional Corporation Oral and Maxillofacial Surgery Past Accepting new patients
S. Matt Schacht, D.D.S., Professional Corporation Oral and Maxillofacial Surgery Past Accepting new patients
Oral & Facial Surgery of Miami, LLC Oral and Maxillofacial Surgery Past Accepting new patients
S. Matthew Schacht DDS, PA Oral and Maxillofacial Surgery Past Accepting new patients
Maikel Segui DDS PA Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1861695462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 OKEECHOBEE BLVD",
            "address_2": "UNIT #806",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016060",
            "telephone_number": "305-450-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RAMPART WAY STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306443",
            "telephone_number": "303-341-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHT",
        "first_name": "STEPHEN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN19288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "SWMC 249-X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.