Bradley J. Schluter, D.D.S. Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10268 Issued in CO

Legal business name

BRADLEY J. SCHLUTER, D.D.S. INC.

Practice address

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

Phone

(719) 275-2454

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley J. Schluter, D.D.S.NPI 1346558368

Title

Owner

Phone

(719) 275-2454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley J Schluter, D.D.S.

  • Dentist
  • Canon City, CO
  • NPI 1346558368
  Medicare reassignment NPD Authorized official
• Craig Scott Schluter, D.D.S.

  • General Practice Dentistry
  • Canon City, CO
  • NPI 1659383487
  Medicare reassignment NPD

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1356886964",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J. SCHLUTER, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "SCHLUTER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-275-2454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Rae Bollinger, NP
• James Clyde Bosse, O.D.
• Alec Douglas Bower, D.O.
• Kathleen Boyd, FNP
• Deborah Bradfield, LCSW
• Janine Marie Bradley, RDH
• Gina Brekke
• Judith Anne Bridgeman, LCSW
• Bright Eyes Vision Clinic PC a Colorado Professional Corporation
• Tanja Britton

• Dental Clinic/Center in Canon City, CO
• Providers in Canon City, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.