Active NPI
Daniel Schlieder, DDS, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- S2191C
- Practice address
- 5435 Kietzke LN Ste 100
Reno, NV 89511-1088 - Phone
- (775) 237-2038
- NPI assigned
- Feb 21, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 29501 | TX | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | S2191C | NV | Primary |
Addresses
Primary practice location
5435 Kietzke LN Ste 100
Reno, NV 89511-1088
Mailing address
5435 Kietzke LN Ste 100
Reno, NV 89511-1088
Phone (775) 237-2038
Other practice location 1
1100 Wilford Hall Loop
Lackland AFB, TX 78236-5638
Phone (509) 301-8931
Other practice location 2
12335 Hymeadow Dr Ste 250
Austin, TX 78750-1948
Phone (509) 301-8931
Other practice location 3
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (509) 301-8931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29501 | TX | MD | Pharmacist |
| S2191C | NV | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPD South Meadows LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Renown Regional Medical Center | Past | Accepting new patients |
Locations
5435 Kietzke Ln
#100
Reno, NV 89511
Phone (775) 237-2038
5435 Kietzke Ln
Reno, NV 89511
Phone (775) 237-2038
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Reno, NV
- NPI 1891441762
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1467725507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5435 KIETZKE LN STE 100",
"city": "RENO",
"state": "NV",
"postal_code": "895111088",
"telephone_number": "775-237-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5435 KIETZKE LN STE 100",
"city": "RENO",
"state": "NV",
"postal_code": "895111088",
"telephone_number": "775-237-2038"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop",
"address_purpose": "LOCATION",
"city": "Lackland AFB",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "509-301-8931",
"fax_number": "904-244-8089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12335 Hymeadow Dr Ste 250",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787501948",
"country_code": "US",
"telephone_number": "509-301-8931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "509-301-8931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHLIEDER",
"first_name": "DANIEL",
"credential": "DDS, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-21",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "29501",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NV",
"license": "S2191C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.