Individual provider Active NPI

Charles Mark Schaepler, DDS

  • Dentist
  • Kearney, NE
National Provider Identifier
1235451956
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5144 Issued in NE
Practice address
315 West 11TH Street
Kearney, NE 68845-7331
Phone
(308) 234-9339
Fax
(308) 234-1682
NPI assigned
Feb 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5144 NE Primary

Addresses

Primary practice location

315 West 11TH Street
Kearney, NE 68845-7331

Mailing address

315 West 11TH Street
Regency Square
Kearney, NE 68845-7331
Phone (308) 234-9339

Other identifiers 1

IdentifierTypeStateIssuer
820540086-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20160125001890 NE Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 5092018036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M Schaepler DDS PC Dentist Past Accepting new patients
Allergy, Asthma & Immunology Associates P.C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1235451956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WEST 11TH STREET",
            "address_2": "REGENCY SQUARE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457331",
            "telephone_number": "308-234-9339",
            "fax_number": "308-234-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WEST 11TH STREET",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457331",
            "telephone_number": "308-234-9339",
            "fax_number": "308-234-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEPLER",
        "first_name": "CHARLES",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "5144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820540086-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.