Individual provider Active NPI

Jennifer Mary Brewer Schau, DDS

  • Dentist
  • Saginaw, MI
National Provider Identifier
1184729196
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016952 Issued in MI
Practice address
5545 Colony Dr N
Saginaw, MI 48638-7188
Phone
(989) 799-0675
Fax
(989) 799-0695
NPI assigned
Sep 14, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901016952 MI Primary

Addresses

Primary practice location

5545 Colony Dr N
Saginaw, MI 48638-7188

Mailing address

5545 Colony Dr N
Saginaw, MI 48638-7188
Phone (989) 799-0675

Other identifiers 1

IdentifierTypeStateIssuer
3296991MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150518001091 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4981924826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901016952MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric P. Heim DDS PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184729196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387188",
            "telephone_number": "989-799-0675",
            "fax_number": "989-799-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 COLONY DR N",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387188",
            "telephone_number": "989-799-0675",
            "fax_number": "989-799-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAU",
        "first_name": "JENNIFER",
        "middle_name": "MARY BREWER",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3296991",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.