Individual provider Active NPI

Renee Lynn Schindlbeck, CDA, RDH, BS

  • Dental Hygienist
  • Grand Marsh, WI
National Provider Identifier
1295992188
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
5548-016 Issued in WI
Practice address
2369 5TH Ave
Grand Marsh, WI 53936-9730
Phone
(608) 339-7030
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 5548-016 WI Primary

Addresses

Primary practice location

2369 5TH Ave
Grand Marsh, WI 53936-9730

Mailing address

2369 5TH Ave
Grand Marsh, WI 53936-9730
Phone (608) 339-7030

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
5548-016WIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1295992188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 5TH AVE",
            "city": "GRAND MARSH",
            "state": "WI",
            "postal_code": "539369730",
            "telephone_number": "608-339-7030",
            "fax_number": "608-339-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2369 5TH AVE",
            "city": "GRAND MARSH",
            "state": "WI",
            "postal_code": "539369730",
            "telephone_number": "608-339-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHINDLBECK",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CDA, RDH, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "5548-016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Marsh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.