Individual provider Active NPI

David Edmund Schwarting, D.D.S.

  • Dentist
  • Playa del Rey, CA
National Provider Identifier
1902946106
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D21756 Issued in CA
Practice address
8410 Pershing Dr
Playa del Rey, CA 90293-7844
Phone
(310) 822-2011
Fax
(310) 822-1726
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D21756 CA Primary

Addresses

Primary practice location

8410 Pershing Dr
Playa del Rey, CA 90293-7844

Mailing address

8410 Pershing Dr
Playa del Rey, CA 90293-7844
Phone (310) 822-2011

Other identifiers 1

IdentifierTypeStateIssuer
B21756-01MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160908001606 CA Order and Referring Only - DentistPractitioner - Dentist 3779879317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D21756CAMDDentist
21756CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902946106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 PERSHING DR",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937844",
            "telephone_number": "310-822-2011",
            "fax_number": "310-822-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 PERSHING DR",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937844",
            "telephone_number": "310-822-2011",
            "fax_number": "310-822-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTING",
        "first_name": "DAVID",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "D21756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B21756-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

Verify at the official NPI Registry.