Active NPI
Schneider Dermatology PLLC
- Dermatology Physician
- Carson City, NV
National Provider Identifier
1437865367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SCHNEIDER DERMATOLOGY PLLC
- Practice address
- 1525 Vista LN Ste 120
Carson City, NV 89703-4633 - Phone
- (775) 451-3376
- Fax
- (775) 490-0186
- NPI assigned
- Jan 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha Schneider, MD
- Title
- Owner
- Phone
- (775) 451-3376
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1525 Vista LN Ste 120
Carson City, NV 89703-4633
Mailing address
1525 Vista LN Ste 120
Carson City, NV 89703-4633
Phone (775) 451-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230530001967 | NV | Part B Supplier - Clinic/Group Practice | 9537526926 |
Receives reassigned benefits from 2 practitioners Practice locations: Sparks, NV; Carson City, NV |
National Provider Directory
National Provider DirectoryLocations
5050 Vista Blvd
Unit 102
Sparks, NV 89436
Phone (775) 451-3376
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1437865367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 VISTA LN STE 120",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034633",
"telephone_number": "775-451-3376",
"fax_number": "775-490-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 VISTA LN STE 120",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034633",
"telephone_number": "775-451-3376",
"fax_number": "775-490-0186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHNEIDER DERMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-24",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "775-451-3376",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.