Individual provider Active NPI

Kimberly Schaal

  • Dental Hygienist
  • Georgetown, DE
National Provider Identifier
1154999720
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
G2-0003064 Issued in DE
Practice address
21444 Carmean Way
Georgetown, DE 19947-4572
Phone
(302) 855-1233
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X G2-0003064 DE Primary

Addresses

Primary practice location

21444 Carmean Way
Georgetown, DE 19947-4572

Mailing address

22697 Holly Way W
Lewes, DE 19958-5264
Phone (302) 357-6447

Other practice location 1

21444 Carmean Way
Georgetown, DE 19947-4572
Phone (302) 855-1233

Other practice location 2

21444 Carmean Way
Georgetown, DE 19947-4572
Phone (302) 855-1233

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
G2-0003064DEMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1154999720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22697 HOLLY WAY W",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199585264",
            "telephone_number": "302-357-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21444 CARMEAN WAY",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199474572",
            "telephone_number": "302-855-1233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21444 Carmean Way",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199474572",
            "country_code": "US",
            "telephone_number": "302-855-1233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21444 Carmean Way",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199474572",
            "country_code": "US",
            "telephone_number": "302-855-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAAL",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "DE",
            "license": "G2-0003064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.