Shane L Schvaneveldt, M.CL.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D-3515-OR Issued in ID

Practice address

2085 Dawson Dr
Twin Falls, ID 83301-3195

Phone

(208) 734-4600

NPI assigned

Apr 2, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Falls Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Twin Falls, ID
  • NPI 1043321110
  NPD Authorized official

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1407029101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 DAWSON DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013195",
            "telephone_number": "208-734-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 DAWSON DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013195",
            "telephone_number": "208-734-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHVANEVELDT",
        "first_name": "SHANE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.CL.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D-3515-OR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806662500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgann Evelyn Schroeder
• Robert Frank Schroeder, MSCCC-A
• Schroeder's Hearing Aid Services & Audiology Inc
• Kelsey Cone Schulz
• Tamara Dawn Schulz
• Katelyn Mary Schwennen, LMSW
• Julie Ann Schwerman, PT
• Sciuridae Boyz, PLLC (Magic Valley Orthopedics)
• Sciuridae Boyz, PLLC (Magic Valley Orthopedics)
• Tomas Jon Scoleri

• Orthodontics and Dentofacial Orthopedics Dentistry in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.