Individual provider Active NPI

Nicholas Paul Schuett, DDS

  • Student in an Organized Health Care Education/Training Program
  • Zimmerman, MN
National Provider Identifier
1104183946
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
14567 288TH Ave NW
Zimmerman, MN 55398-4803
Phone
(651) 245-8533
NPI assigned
Apr 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

14567 288TH Ave NW
Zimmerman, MN 55398-4803

Mailing address

14567 288TH Ave NW
Zimmerman, MN 55398-4803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421000476 MN Order and Referring Only - General PracticePractitioner - General Practice 6709184955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1104183946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14567 288TH AVE NW",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14567 288TH AVE NW",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984803",
            "telephone_number": "651-245-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUETT",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zimmerman, MN

Sources for this page

Verify at the official NPI Registry.