Katherine Rosalie Schloesser, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS037512 Issued in PA

Practice address

554 Hamlin Hwy
Lake Ariel, PA 18436-9319

Phone

(570) 253-0358

Fax

(570) 352-3395

NPI assigned

Jul 15, 2008

Last updated

Mar 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Rosalie Rickard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sprout Pediatric Dental

  • Pediatric Dentistry
  • Lake Ariel, PA
  • NPI 1528319993
  Authorized official Same address or phone
• Sprout Pediatric Dental

  • Pediatric Dentistry
  • Kingston, PA
  • NPI 1558080804
  Authorized official Same address or phone
• Sprout Pediatric Dental

  • Dental Clinic/Center
  • Scranton, PA
  • NPI 1639874696
  Authorized official Same address or phone
• Sprout Pediatric Dental

  • Pediatric Dentistry
  • Pittston, PA
  • NPI 1669150355
  NPD (past) Authorized official
• Sprout Pediatric Dental

  • Pediatric Dentistry
  • Honesdale, PA
  • NPI 1902525264
  NPD (past) Authorized official

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1033373485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 HAMLIN HWY",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184369319",
            "telephone_number": "570-253-0358",
            "fax_number": "570-352-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 HAMLIN HWY",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184369319",
            "telephone_number": "570-253-0358",
            "fax_number": "570-352-3395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "487 Northampton St",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "PA",
            "postal_code": "187044509",
            "country_code": "US",
            "telephone_number": "570-288-4591",
            "fax_number": "570-714-7793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLOESSER",
        "first_name": "KATHERINE",
        "middle_name": "ROSALIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS037512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "RICKARD",
            "middle_name": "ROSALIE",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dominick Rizzo
• Mackenzie Runne
• Kelsey Russo
• Jennifer Marie Sabatelle, RN
• Sanctuary at Lake Ariel LLC (Lake Ariel Recovery Center)
• Sabrina Elise Shander, CRNP
• Jenna Smith, PA-C
• April Ann Spencer, COTA/L
• Sprout Pediatric Dental
• Sakura Staak, LMT

• Pediatric Dentistry in Lake Ariel, PA
• Providers in Lake Ariel, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.