Healthcare Provider Details

I. General information

NPI: 1336066638
Provider Name (Legal Business Name): DAKOTA WAYNE SCHACKART
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 ZAHNS ST
WAVERLY OH
45690-9382
US

IV. Provider business mailing address

3664 COAL DOCK RD
BEAVER OH
45613-9411
US

V. Phone/Fax

Practice location:
  • Phone: 740-222-4743
  • Fax:
Mailing address:
  • Phone: 740-222-4743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: