Organization Active NPI

Theodore S. Schwartz D.D.S,M.S.D.,P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plantation, FL
National Provider Identifier
1952337586
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN5061 Issued in FL
Legal business name
THEODORE S. SCHWARTZ D.D.S,M.S.D.,P.A.
Practice address
815 S University Dr
Suite 100
Plantation, FL 33324-3312
Phone
(954) 473-6900
Fax
(954) 724-9406
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Theodore Segal Schwartz, D.D.S.,M.S.D.
Title
President
Phone
(954) 473-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN5061 FL Primary

Addresses

Primary practice location

815 S University Dr
Suite 100
Plantation, FL 33324-3312

Mailing address

815 S University Dr
Suite 100
Plantation, FL 33324-3312
Phone (954) 473-6900

Other identifiers 1

IdentifierTypeStateIssuer
771177OtherFLUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

815 S University Dr
Ste 100
Plantation, FL 33324
Phone (954) 473-6900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1952337586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S UNIVERSITY DR",
            "address_2": "SUITE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243312",
            "telephone_number": "954-473-6900",
            "fax_number": "954-724-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S UNIVERSITY DR",
            "address_2": "SUITE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243312",
            "telephone_number": "954-473-6900",
            "fax_number": "954-724-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE S. SCHWARTZ D.D.S,M.S.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "SEGAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-473-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN5061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "771177",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

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