Brian Rex Schneider, D.D.S. M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7629 Issued in AZ

Practice address

11030 N Tatum Blvd
Suite F 100
Phoenix, AZ 85028-6073

Phone

(602) 996-2225

Fax

(602) 996-8048

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Brian Rex Schneider Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 26, 2013 through Jul 26, 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 and National Provider Directory roles.

• Schneider Oral Surgery PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Phoenix, AZ
  • NPI 1598152506
  NPD (past) Authorized official
• Downriver Oral Surgery and Implant Center

  dba Downriver Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Wyandotte, MI
  • NPI 1205773819
  NPD (past)
• Downriver Surgery Center, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Wyandotte, MI
  • NPI 1023295474
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1396724308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 N TATUM BLVD",
            "address_2": "SUITE F 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286073",
            "telephone_number": "602-996-2225",
            "fax_number": "602-996-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 N TATUM BLVD",
            "address_2": "SUITE F 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286073",
            "telephone_number": "602-996-2225",
            "fax_number": "602-996-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "BRIAN",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "credential": "D.D.S.  M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901017378",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "7629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORAL SURGERY",
            "identifier": "27 4357491",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "SCHNEIDER",
            "middle_name": "REX",
            "prefix": "DR.",
            "credential": "D.D.S. M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laura Schnaidt, D.M.D.
• Schneider Family Practice LLC
• Schneider Oral Surgery PLLC
• Andrea Schneider, DO
• Brian Martin Schneider, MD
• Cindy Kay Schneider, MD
• Emma Jane Schneider, MOT, BBNSC
• Gerard William Schneider, D.D.S.
• Jamie Lynn Schneider, MA, BCBA
• Jessica Schneider, PSY.D.

• Oral and Maxillofacial Surgery (Dentist) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.