Jonathan Michael Schutze, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048231-1 Issued in NY

Practice address

453 Dixon Rd
Suite 3
Queensbury, NY 12804-1964

Phone

(518) 793-3553

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1871553719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 DIXON RD",
            "address_2": "SUITE 3",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041964",
            "telephone_number": "518-793-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 DIXON RD",
            "address_2": "SUITE 3",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041964",
            "telephone_number": "518-793-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZE",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048231-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02698988",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Schroeck, LMSW
• Schuerlein Chiropractic PLLC
• Paul G Schulze, PSYD
• Emma Schurman
• H John Schutze II, DDS
• Doris Schweickert, NP
• David W Schwenker, M.D.
• Shauna Scott
• Daneen Scotto-Lavino, RPH
• Kara A Seaton, LBA, BCBA

• General Practice Dentistry in Queensbury, NY
• Providers in Queensbury, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.