Individual provider Active NPI

Roberta Heather Schreiner, DDS

  • General Practice Dentistry
  • Ozone Park, NY
National Provider Identifier
1144251570
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0369011 Issued in NY
Practice address
9120 Atlantic Ave
Ozone Park, NY 11417
Phone
(718) 323-9890
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 0369011 NY Primary

Addresses

Primary practice location

9120 Atlantic Ave
Ozone Park, NY 11417

Mailing address

567 Madison Ave
West Hempstead, NY 11552
Phone (516) 538-1106

Other identifiers 1

IdentifierTypeStateIssuer
00900683MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150729008258 NY Order and Referring Only - DentistPractitioner - Dentist 8820302201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0369011NYMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: rschreiner4050@direct.medisys.org

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144251570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 MADISON AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "11552",
            "telephone_number": "516-538-1106",
            "fax_number": "516-538-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 ATLANTIC AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "11417",
            "telephone_number": "718-323-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREINER",
        "first_name": "ROBERTA",
        "middle_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0369011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00900683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.