Justin Schneider, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN26702 Issued in FL

Practice address

4410 W 16TH Ave Ste 52
Hialeah, FL 33012-7193

Phone

(305) 825-9899

NPI assigned

Jun 8, 2015

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boynton Oral Surgery and Implant Center PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Boynton Beach, FL
  • NPI 1255980447
  Medicare reassignment NPD
• Glenview Smiles, LLC

  • Dental Clinic/Center
  • Glenview, IL
  • NPI 1184183139
  NPD (past)
• Webster Dental Care Glenview, LTD

  • General Practice Dentistry
  • Glenview, IL
  • NPI 1619431871
  NPD (past)

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1881074425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NE 36TH ST APT 805",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373911",
            "telephone_number": "243-924-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE STE 52",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127193",
            "telephone_number": "305-825-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 SW 120th St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331867441",
            "country_code": "US",
            "telephone_number": "305-851-6464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 Cape Coral Pkwy W Apt 5",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339147420",
            "country_code": "US",
            "telephone_number": "239-230-2026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8688 Griffin Rd",
            "address_purpose": "LOCATION",
            "city": "Cooper City",
            "state": "FL",
            "postal_code": "333283713",
            "country_code": "US",
            "telephone_number": "954-719-6278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JUSTIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030289",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN26702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118490600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter M Scerbo, DMD
• Lee-Hua Heidi Scheff
• Stephanie Schein
• Brian Schleier Hernandez, MD
• Andrew Jeff Schmer
• Michael Schneider
• Samantha Schwartzbaum
• Sebastian a Padron MD,PA
• Margarete Secada, APRN
• Otto L Secada, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.