Bradley J Schluter, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

10268 Issued in CO

Practice address

210 N 19TH St
Canon City, CO 81212-2423

Phone

(719) 275-2454

Fax

(719) 275-3098

NPI assigned

Sep 24, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bradley J. Schluter, D.D.S. Inc.

  • Dental Clinic/Center
  • Canon City, CO
  • NPI 1356886964
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1346558368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N 19TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122423",
            "telephone_number": "719-275-2454",
            "fax_number": "719-275-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N 19TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122423",
            "telephone_number": "719-275-2454",
            "fax_number": "719-275-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLUTER",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darran Dee Sawyer, CRNA
• Shirley Ann Sawyer, NP
• Valerie Schauer, FNP-C
• Wendy Schiferl
• Beverly Schluter
• Craig Scott Schluter, D.D.S.
• School District Fremont Re-1
• Tammie Sue Schoonhoven, CNA
• Mandi Schott
• Laurie Schwiem, CAC II

• Dentist in Canon City, CO
• Providers in Canon City, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.