Active NPI
Theodore S. Schwartz D.D.S,M.S.D.,P.a.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Plantation, FL
National Provider Identifier
1952337586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN5061
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 771177 | Other | FL | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Plantation, FL
- NPI 1669808572
-
- Pediatric Dentistry
- Clearwater, FL
- NPI 1164958526
-
- Pediatric Dentistry
- Plantation, FL
- NPI 1144956004
-
- Pediatric Dentistry
- Plantation, FL
- NPI 1760046536
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.