Organization Active NPI

Schneider Dermatology PLLC

  • Dermatology Physician
  • Carson City, NV
National Provider Identifier
1437865367
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Samantha Schneider, MDNPI 1992190235
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.