Kenneth Chad Schneider, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010641A Issued in IN

Practice address

8928 E 96TH St
Fishers, IN 46037-9648

Phone

(317) 598-9380

Fax

(317) 813-1982

NPI assigned

Oct 2, 2006

Sex

Male

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 IN

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

Practice roles

Locations

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.

• K.C. Schneider D.D.S. P.C.

  • Preferred Provider Organization
  • Fishers, IN
  • NPI 1750538690
  NPD
• Avalon Dentistry, Inc.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1699974345
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1164515144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379648",
            "telephone_number": "317-598-9380",
            "fax_number": "317-813-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8928 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379648",
            "telephone_number": "317-598-9380",
            "fax_number": "317-813-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KENNETH",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010641A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Elliott Schell
• Morgan Scherrer
• Tanisha Schlabach
• Jeffrey C Schleutker, O.D.
• Jennifer Schnable, RN
• Alexandra Schocke, BCBA
• Kaitlyn Schoenbein
• Brittany Schoettelkotte, DPT
• Stephen R. Schofield, ATC
• Kate Schrader, OTD

• General Practice Dentistry in Fishers, IN
• Providers in Fishers, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.