Individual provider Active NPI

Spencer Lee Schneider, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Denver, CO
National Provider Identifier
1245749910
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN.00203215 Issued in CO
Practice address
2373 Central Park Blvd Unit 302
Denver, CO 80238-2300
Phone
(303) 316-7846
Fax
(303) 316-7848
NPI assigned
Sep 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DEN.00203215 CO Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 019.030922 IL

Addresses

Primary practice location

2373 Central Park Blvd Unit 302
Denver, CO 80238-2300

Mailing address

2330 Kearney St
Denver, CO 80207-3406
Phone (847) 310-2988

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
DEN.00203215COMDOrthodontics and Dentofacial Orthopedic Dentist
019.030922ILMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Schneider Orthodontics PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Jan 28, 2024 Accepting new patients

Locations

2373 Central Park Blvd
Unit 302
Denver, CO 80238
Phone (303) 316-7846

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1245749910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 KEARNEY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073406",
            "telephone_number": "847-310-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD UNIT 302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-316-7846",
            "fax_number": "303-316-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "SPENCER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00203215",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019.030922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.