Richard S Schalk Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN013955 Issued in GA

Practice address

647 Holcomb Bridge Rd
Coast Dental
Roswell, GA 30076-1511

Phone

(770) 641-1595

NPI assigned

May 6, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1982922506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 HOLCOMB BRIDGE RD",
            "address_2": "COAST DENTAL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761511",
            "telephone_number": "770-641-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 HOLCOMB BRIDGE RD",
            "address_2": "COAST DENTAL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761511",
            "telephone_number": "770-641-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALK",
        "first_name": "RICHARD",
        "middle_name": "S",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4679",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Saxon
• Zohra Sayani, FNP
• Caitlin Scannell, LMSW
• SCG Durant Four Seasons, LLC
• Margaret Schad, PT, DPT
• Joel E Schancupp
• Schantz Chiropratic, P.C.
• James E Schantz, D.C.
• Marsha Ilene Schechtman, LCSW
• Kelly Alexis Scheinberg, M.D.

• Dentist in Roswell, GA
• Providers in Roswell, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.