Zachary Dean Schufeldt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7829 Issued in NE

Practice address

1860 Madison Ave Ste 4
Council Bluffs, IA 51503-5200

Phone

(712) 256-6263

NPI assigned

Apr 7, 2022

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Practice roles

Locations

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.

• Bluejay Family Dental PC

  • General Practice Dentistry
  • Council Bluffs, IA
  • NPI 1427642206
  NPD
• Stuntz Family Dentistry

  • Dentist
  • Council Bluffs, IA
  • NPI 1447486816
  NPD (past)

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1033851464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 FREDERICK AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681386800",
            "telephone_number": "402-957-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MADISON AVE STE 4",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035200",
            "telephone_number": "712-256-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUFELDT",
        "first_name": "ZACHARY",
        "middle_name": "DEAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W. Schremmer, PT
• David Wayne Schroder, P.T.A.
• Brenda Kay Schroeder
• Kathryn Lynn Schroeder, RD, LD, CDE
• Wilma Kay Schuermann, FNP
• Rochelle Kay Schuka, APRN, NP-C
• Erik N Schulte, D.O.
• Quinn M Schulte, P.A.
• Corinne Elizabeth Schwager, ARNP
• Meyer P. Schwartz, MD

• General Practice Dentistry in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.