Individual provider Active NPI

Mark Alfred Schriefer, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1043332448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22800 Issued in TX
Practice address
1243 E Red Bird LN
Dallas, TX 75241-2008
Phone
(214) 372-6062
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22800 TX Primary

Addresses

Primary practice location

1243 E Red Bird LN
Dallas, TX 75241-2008

Mailing address

5636 Spring Valley Rd
#25D
Dallas, TX 75254-3170
Phone (972) 980-1669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22800TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043332448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 SPRING VALLEY RD",
            "address_2": "#25D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752543170",
            "telephone_number": "972-980-1669",
            "fax_number": "972-702-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 E RED BIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752412008",
            "telephone_number": "214-372-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRIEFER",
        "first_name": "MARK",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.