Individual provider Active NPI

Joseph Edward Schara, D.D.S.

  • Dentist
  • Saint Paul, MN
National Provider Identifier
1245303395
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D10774 Issued in MN
Practice address
408 Saint Peter St
Ste. 412
Saint Paul, MN 55102-1130
Phone
(651) 224-2011
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 D10774 MN Primary

Addresses

Primary practice location

408 Saint Peter St
Ste. 412
Saint Paul, MN 55102-1130

Mailing address

408 Saint Peter St
Ste. 412
Saint Paul, MN 55102-1130
Phone (651) 224-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160531001007 MN Order and Referring Only - DentistPractitioner - Dentist 0143510321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Schara Family Dentistry Inc. Past Accepting new patients

Organizations & group practices 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245303395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 SAINT PETER ST",
            "address_2": "STE. 412",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021130",
            "telephone_number": "651-224-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 SAINT PETER ST",
            "address_2": "STE. 412",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021130",
            "telephone_number": "651-224-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARA",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D10774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.