Individual provider Active NPI

Robert Edward Schneider, D.D.S.

  • General Practice Dentistry
  • Shaker Heights, OH
National Provider Identifier
1063568954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19325 Issued in OH
Practice address
20620 N Park Blvd
Suite 220
Shaker Heights, OH 44118-4519
Phone
(216) 321-2545
Fax
(216) 321-2546
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

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 19325 OH Primary

Addresses

Primary practice location

20620 N Park Blvd
Suite 220
Shaker Heights, OH 44118-4519

Mailing address

20620 N Park Blvd
Suite 220
Shaker Heights, OH 44118-4519
Phone (216) 321-2545

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
19325OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Schneider DDS LLC General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063568954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20620 N PARK BLVD",
            "address_2": "SUITE 220",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441184519",
            "telephone_number": "216-321-2545",
            "fax_number": "216-321-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20620 N PARK BLVD",
            "address_2": "SUITE 220",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441184519",
            "telephone_number": "216-321-2545",
            "fax_number": "216-321-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

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.