Caleb Schadel, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7526 Issued in NE

Practice address

5040 S 153Rd St
Omaha, NE 68137-5067

Phone

(402) 934-8999

NPI assigned

Apr 17, 2014

Last updated

Jun 26, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 28, 2021 through Sep 28, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omaha Oral Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1326402470
  NPD (past)
• Advanced Oral Surgery, PLLC

  dba Council Bluffs Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Council Bluffs, IA
  • NPI 1154970655
  NPD (past)

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1396165221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 S 153RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375067",
            "telephone_number": "402-934-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 S 153RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375067",
            "telephone_number": "402-934-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHADEL",
        "first_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NE",
            "license": "7526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethanie Loree Schacht
• Schack Relationship Institute LLC
• Sophia Schack, PHLMP
• Stanley H Schack, M.D.
• Brent J Schade
• Angela Renae Schaecher
• Matthew Schaecher, PHARM.D.
• Ana Maria Schaefer
• Ann Marie Claire Schaefer
• Anthony Schaefer

• Oral and Maxillofacial Surgery (Dentist) in Omaha, NE
• Providers in Omaha, NE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.