Individual provider Active NPI

Stephanie Perko Schwartz, DDS

  • General Practice Dentistry
  • Waco, TX
National Provider Identifier
1982230132
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37051 Issued in TX
Practice address
1800 Gurley LN
Waco, TX 76706-4025
Phone
(254) 313-6100
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37051 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1800 Gurley LN
Waco, TX 76706-4025

Mailing address

205 Ida Ave
Bay City, TX 77414-3144
Phone (414) 852-9091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260625002471 TX Practitioner - Dentist 6103222856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Minnesota School of Dentistry, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Ave F N
Bay City, TX 77414-3167

1600 Providence Dr
Waco, TX 76707-2261

1903 Swan LN
McAlester, OK 74501-7381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matagorda Episcopal Health Outreach Program Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stephanie.schwartz.1@17406.direct.athenahealth.com

Organizations & group practices 2

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1982230132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 IDA AVE",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143144",
            "telephone_number": "414-852-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GURLEY LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767064025",
            "telephone_number": "254-313-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "STEPHANIE",
        "middle_name": "PERKO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37051",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.