Individual provider Active NPI

Adam T Schneider

  • General Practice Dentistry
  • Gaithersburg, MD
National Provider Identifier
1083701973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
22 Montgomery Village Ave
Gaithersburg, MD 20879-3582
Phone
(301) 948-3111
Fax
(301) 948-8674
NPI assigned
Oct 10, 2006
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 MD Primary

Addresses

Primary practice location

22 Montgomery Village Ave
Gaithersburg, MD 20879-3582

Mailing address

22 Montgomery Village Ave
Gaithersburg, MD 20879-3582
Phone (301) 948-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20150602000227 MD Order and Referring Only - DentistPractitioner - Dentist 4284955303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006980470MDMDGeneral Practice Dentistry
12220MDMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Schneider Family Dentistry 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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083701973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MONTGOMERY VILLAGE AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793582",
            "telephone_number": "301-948-3111",
            "fax_number": "301-948-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MONTGOMERY VILLAGE AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793582",
            "telephone_number": "301-948-3111",
            "fax_number": "301-948-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ADAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.