Active NPI
Ronald William Schalter, DO
- Dentist
- Hudson, MI
National Provider Identifier
1396756771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13200
- Practice address
- 808 N Maple Grove Ave
Hudson, MI 49247-9767 - Phone
- (517) 448-7130
- Fax
- (517) 448-7198
- NPI assigned
- Aug 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13200 | MI | Primary |
Addresses
Primary practice location
808 N Maple Grove Ave
Hudson, MI 49247-9767
Mailing address
3033 Madison Lake CT
Adrian, MI 49221-4100
Phone (517) 448-7130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13200 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Family Dentistry PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Hudson, MI
- NPI 1144580838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396756771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 MADISON LAKE CT",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492214100",
"telephone_number": "517-448-7130",
"fax_number": "517-448-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 N MAPLE GROVE AVE",
"city": "HUDSON",
"state": "MI",
"postal_code": "492479767",
"telephone_number": "517-448-7130",
"fax_number": "517-448-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHALTER",
"first_name": "RONALD",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "13200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.