S. Matthew Schacht DDS, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN19288 Issued in FL

Legal business name

S. MATTHEW SCHACHT DDS, PA

Practice address

4744 S Florida Ave
Lakeland, FL 33813-2181

Phone

(305) 450-9515

NPI assigned

Mar 20, 2012

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Matthew Schacht, D.D.S.NPI 1861695462

Title

President

Phone

(305) 450-9515

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Matthew Schacht, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
  • NPI 1861695462
  NPD (past) Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1881969053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 OKEECHOBEE BLVD",
            "address_2": "#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": "4744 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132181",
            "telephone_number": "305-450-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. MATTHEW SCHACHT DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "SCHACHT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-450-9515",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN19288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Timothy Ryan, PT
• Robin Deann Ryan, APRN
• Elizabeth Joan Ryerkerk
• Danielle Marie Rylott, APRN, NP-C
• Terry L Rzepkowski, PT
• Sa-Lakeland, LLC (Palm Terrace of Lakeland)
• Paul Stanford Saari, DDS
• Michael Sabina, DO
• Cassandra Lynn Sabol, IMHC
• Maron Sabol, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Lakeland, FL
• Providers in Lakeland, 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 Oct 15, 2014; 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.