Active NPI
Candice Carly Schwartz, BDS, MBA
- Dentist
- Rancho Mirage, CA
National Provider Identifier
1962978551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- SP287
- Practice address
- 42900 Bob Hope Dr Ste 111
Rancho Mirage, CA 92270-4442 - Phone
- (760) 565-6055
- NPI assigned
- Oct 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | SP287 | CA | Primary |
Addresses
Primary practice location
42900 Bob Hope Dr Ste 111
Rancho Mirage, CA 92270-4442
Mailing address
78532 Pompeii CT
La Quinta, CA 92253-7922
Phone (720) 546-3481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T5739868 | Other | CA | CA DRIVERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP287 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1962978551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78532 POMPEII CT",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922537922",
"telephone_number": "720-546-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42900 BOB HOPE DR STE 111",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704442",
"telephone_number": "760-565-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "CANDICE",
"middle_name": "CARLY",
"credential": "BDS, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-22",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "SP287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA DRIVERS LICENSE",
"identifier": "T5739868",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.