Organization Active NPI

Schardt Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Monroe, WI
National Provider Identifier
1376990325
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6449 Issued in WI
Legal business name
SCHARDT ORTHODONTICS
Practice address
1502 11TH St
Monroe, WI 53566-1747
Phone
(608) 328-8160
NPI assigned
May 19, 2016
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Gregory Schardt
Title
Orthodontist
Phone
(608) 328-8160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6449 WI Primary

Addresses

Primary practice location

1502 11TH St
Monroe, WI 53566-1747

Mailing address

1502 11TH St
Monroe, WI 53566-1747
Phone (608) 328-8160

National Provider Directory

National Provider Directory

Locations

1502 11th St
Monroe, WI 53566
Phone (608) 328-8160

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1376990325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 11TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661747",
            "telephone_number": "608-328-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 11TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661747",
            "telephone_number": "608-328-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHARDT ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "SCHARDT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "608-328-8160"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "6449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.