Individual provider Active NPI

Christopher Michael Schiller, DDS, MS

  • Endodontics
  • Miami Shores, FL
National Provider Identifier
1962901322
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN25211 Issued in FL
Practice address
9503 NE 2ND Ave
Miami Shores, FL 33138-2704
Phone
(786) 310-4816
NPI assigned
Feb 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS042962 PA
Endodontics 1223E0200X DN25211 FL Primary

Addresses

Primary practice location

9503 NE 2ND Ave
Miami Shores, FL 33138-2704

Mailing address

2116 Chestnut St Unit 3502
Philadelphia, PA 19103-5010
Phone (561) 427-9880

Other practice location 1

120 East Ave
Norwalk, CT 06851-5703
Phone (917) 696-5245

Other practice location 2

160 Movie Row
Smyrna, TN 37167-6532
Phone (615) 930-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220308001594 FL Order and Referring Only - DentistPractitioner - Dentist 1355735390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS042962PAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Shores Modern Dentistry, PA PastSince Jan 21, 2022 Accepting new patients
Smile Culture Dental PC Dentist Past Accepting new patients
Smyrna Modern Dentistry, PC Dentist PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1962901322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 CHESTNUT ST UNIT 3502",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035010",
            "telephone_number": "561-427-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9503 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382704",
            "telephone_number": "786-310-4816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 East Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068515703",
            "country_code": "US",
            "telephone_number": "917-696-5245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Movie Row",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676532",
            "country_code": "US",
            "telephone_number": "615-930-9606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHILLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS042962",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN25211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

Verify at the official NPI Registry.