Individual provider Active NPI

Steven Eugene Schacher, DDS

  • General Practice Dentistry
  • Rapid City, SD
National Provider Identifier
1265630461
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M779 Issued in SD
Practice address
1600 Mountain View Rd
Suite 104
Rapid City, SD 57702-4381
Phone
(605) 343-0711
Fax
(605) 343-1842
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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 M779 SD Primary

Addresses

Primary practice location

1600 Mountain View Rd
Suite 104
Rapid City, SD 57702-4381

Mailing address

1600 Mountain View Rd
Suite 104
Rapid City, SD 57702-4381
Phone (605) 343-0711

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
M779SDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1265630461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MOUNTAIN VIEW RD",
            "address_2": "SUITE 104",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024381",
            "telephone_number": "605-343-0711",
            "fax_number": "605-343-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MOUNTAIN VIEW RD",
            "address_2": "SUITE 104",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024381",
            "telephone_number": "605-343-0711",
            "fax_number": "605-343-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHER",
        "first_name": "STEVEN",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.