Bethany Schuetzle, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

2172 Issued in ND

Practice address

1401 Skyline Blvd Ste 210
Bismarck, ND 58503

Phone

(701) 751-7177

NPI assigned

Jul 8, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• SBD Dental

  dba Smiles By Design

  • Dental Clinic/Center
  • Bismarck, ND
  • NPI 1295561116
  NPD Authorized official
• Missouri River Dental, PC

  • General Practice Dentistry
  • Bismarck, ND
  • NPI 1992117501
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1093156093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SKYLINE BLVD STE 210",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SKYLINE BLVD STE 210",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-751-7177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 S 12th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585046626",
            "country_code": "US",
            "telephone_number": "701-221-0537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUETZLE",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Schroeder, FNP-C
• Jennifer L Schroeder, OT
• Scott Schroeder
• Valerie M Schroeder
• Brandon Schuetz
• Kristy L. Schuh, APRN, CNP
• Erica H Schuler, PT
• Amy J Schulte, OTR
• Jessica Ann Schulte
• Kathy Schulte

• Dentist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.