Individual provider Active NPI

James P Schuller, DDS

  • Dentist
  • Cedar Rapids, IA
National Provider Identifier
1154483980
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6909 Issued in IA
Practice address
1000 42ND St SE
1000 Professional Centre Suite B
Cedar Rapids, IA 52403
Phone
(319) 362-0043
Fax
(319) 362-1018
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6909 IA Primary

Addresses

Primary practice location

1000 42ND St SE
1000 Professional Centre Suite B
Cedar Rapids, IA 52403

Mailing address

1000 42ND St SE
1000 Professional Centre Suite B
Cedar Rapids, IA 52403
Phone (319) 362-0043

Other identifiers 1

IdentifierTypeStateIssuer
0237875MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6909IAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230681600000",
    "number": "1154483980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 42ND ST SE",
            "address_2": "1000 PROFESSIONAL CENTRE SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52403",
            "telephone_number": "319-362-0043",
            "fax_number": "319-362-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 42ND ST SE",
            "address_2": "1000 PROFESSIONAL CENTRE SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52403",
            "telephone_number": "319-362-0043",
            "fax_number": "319-362-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULLER",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "6909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237875",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.