Individual provider Active NPI

Kathryn Patricia Schneider, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1205064292
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6839 Issued in NE
Practice address
12041 Blondo St
Omaha, NE 68164-3905
Phone
(402) 493-2314
Fax
(402) 614-3018
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 6839 NE Primary

Addresses

Primary practice location

12041 Blondo St
Omaha, NE 68164-3905

Mailing address

12041 Blondo St
Omaha, NE 68164-3905
Phone (402) 493-2314

Other names 1

  • Dr. Kathryn Patricia Tascione Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@schneiderfamilydentistry.com Direct

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
6839NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bicuspids & Molars P.C. General Practice CurrentSince Jan 15, 2023 Accepting new patients
Albert C Coco DDS PC Past Accepting new patients

Locations

12041 Blondo St
Omaha, NE 68164
Phone (402) 493-2314

1915 N 121st St
Ste A
Omaha, NE 68154
Phone (402) 493-2314

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1205064292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 BLONDO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643905",
            "telephone_number": "402-493-2314",
            "fax_number": "402-614-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 BLONDO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643905",
            "telephone_number": "402-493-2314",
            "fax_number": "402-614-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KATHRYN",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@schneiderfamilydentistry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12041 Blondo St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681643905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "TASCIONE",
            "middle_name": "PATRICIA",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.