Timothy Alton Schaible, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014957 Issued in MO

Practice address

1544 Sierra Vista Plaza
St. Louis, MO 63138

Phone

(314) 355-5700

Fax

(314) 355-5702

NPI assigned

Oct 17, 2008

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

Medicare fee-for-service enrollment

Enrolled in MO

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

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1902058290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 SIERRA VISTA PLAZA",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63138",
            "telephone_number": "314-355-5700",
            "fax_number": "314-355-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SIERRA VISTA PLAZA",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63138",
            "telephone_number": "314-355-5700",
            "fax_number": "314-355-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAIBLE",
        "first_name": "TIMOTHY",
        "middle_name": "ALTON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Schaffer
• Olivia Schaffer
• Sarah Schaffer, MPT
• Jill Schaffner
• Cara Schagemann, WHNP-BC
• Elise Schaller, CPNP
• Mary Debra Schallom, MSW, LCSW
• Tracy Schamburg, LPC
• Kim Elaine Schamel, MD
• Janet Merrill Schamp, PT

• General Practice Dentistry in St. Louis, MO
• Providers in St. Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.