Organization Active NPI

Keith C. Schloss D.M.D.

  • General Practice Dentistry
  • Erie, PA
National Provider Identifier
1457877862
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS023531L Issued in PA
Legal business name
KEITH C. SCHLOSS D.M.D.
Practice address
4020 Sterrettania Rd
Erie, PA 16506-4125
Phone
(814) 835-3740
Fax
(814) 835-5233
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Dr. Keith C Schloss, D.M.D.NPI 1184715799
Title
Owner
Phone
(814) 835-3740

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS023531L PA Primary

Addresses

Primary practice location

4020 Sterrettania Rd
Erie, PA 16506-4125

Mailing address

4020 Sterrettania Rd
Erie, PA 16506-4125
Phone (814) 835-3740

National Provider Directory

National Provider Directory

Locations

4020 Sterrettania Rd
Erie, PA 16506
Phone (814) 835-3740

Practitioners & affiliated clinicians

Practitioners 1

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": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1457877862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 STERRETTANIA RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064125",
            "telephone_number": "814-835-3740",
            "fax_number": "814-835-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 STERRETTANIA RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064125",
            "telephone_number": "814-835-3740",
            "fax_number": "814-835-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH C. SCHLOSS D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHLOSS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-835-3740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023531L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.