Organization Active NPI

Bicuspids & Molars P.C.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1043571482
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6839 Issued in NE
Legal business name
BICUSPIDS & MOLARS P.C.
Practice address
12041 Blondo St
Omaha, NE 68164-3905
Phone
(402) 493-2314
Fax
(402) 614-3018
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Kathryn P Schneider, D.D.S.NPI 1205064292
Title
President/Dentist
Phone
(402) 493-2314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6839 NE Primary

Addresses

Primary practice location

12041 Blondo St
Omaha, NE 68164-3905

Mailing address

12041 Blondo St
Omaha, NE 68164-3905
Phone (402) 493-2314

Other identifiers 1

IdentifierTypeStateIssuer
100258792-00MedicaidNE

Other names 1

  • Schneider & Coco Family Dentistry Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@schneiderfamilydentistry.com Direct
Direct Messaging Address info@schneiderfamilydentistry.com

National Provider Directory

National Provider Directory

Locations

1915 N 121st St
Ste A
Omaha, NE 68154
Phone (402) 493-2314

12041 Blondo St
Omaha, NE 68164
Phone (402) 493-2314

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1043571482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 BLONDO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643905",
            "telephone_number": "402-493-2314",
            "fax_number": "402-614-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 BLONDO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643905",
            "telephone_number": "402-493-2314",
            "fax_number": "402-614-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICUSPIDS & MOLARS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "402-493-2314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100258792-00",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@schneiderfamilydentistry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12041 Blondo St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681643905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@schneiderfamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "12041 Blondo St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681643905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Schneider & Coco Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.