Kathleen a. Schroeder DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019015377 Issued in IL

Legal business name

KATHLEEN A. SCHROEDER DDS

Practice address

278 Memorial Dr
Crystal Lake, IL 60014-6246

Phone

(815) 455-3110

Fax

(815) 455-7302

NPI assigned

Apr 9, 2013

Organization subpart

No

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

Authorized official

Name

Scott Goldman

Title

President

Phone

(847) 987-0322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1073956017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 MEMORIAL DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 MEMORIAL DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146246",
            "telephone_number": "815-455-3110",
            "fax_number": "815-455-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN A. SCHROEDER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-987-0322"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019015377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Yvonne Karney, MD
• Stephanie Kaser, LCPC
• Payton D. Kaska
• Maurine Lynn Kaskel, LCSW
• Anna Kastanas, APN
• Vasanth Kattalai Kailasam, MD
• Lauren Tracy Kell, LPC
• Kaitlyn S Keller, O.D.
• Lindsay Amanda Kellner, LCSW
• Danielle Irene Kelly, NP

• Pediatric Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.