Individual provider Active NPI

Robin Scott Schroeder, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1275838138
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0026197 Issued in TX
Practice address
15900 La Cantera Pkwy Ste 20250
San Antonio, TX 78256-2512
Phone
(210) 877-0000
NPI assigned
Jan 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0026197 TX Primary

Addresses

Primary practice location

15900 La Cantera Pkwy Ste 20250
San Antonio, TX 78256-2512

Mailing address

13135 Moselle FRST
Helotes, TX 78023-3768
Phone (210) 618-8322

Other practice location 1

2d DENBN/NDC, PSC 20130, 315 MCHUGH BLVD
Commanding Officer
Camp Lejeune, NC 28542-0130
Phone (910) 451-2208 ext. 203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241116000248 TX Practitioner - Dentist 1557895265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26197TXMDSocial Worker
0026197TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 8, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 8, 2024 Accepting new patients
Desai Dentistry PLLC PastSince Jan 21, 2022 Accepting new patients

Locations

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

Organizations & group practices 3

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": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275838138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 MOSELLE FRST",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233768",
            "telephone_number": "210-618-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 20250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562512",
            "telephone_number": "210-877-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2d DENBN/NDC, PSC 20130, 315 MCHUGH BLVD",
            "address_2": "Commanding Officer",
            "address_purpose": "LOCATION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420130",
            "country_code": "US",
            "telephone_number": "910-451-2208 x203",
            "fax_number": "910-451-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "ROBIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0026197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.