Individual provider Active NPI

Daniel Schlieder, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Reno, NV
National Provider Identifier
1467725507
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
S2191C Issued in NV
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

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
29501TXMDPharmacist
S2191CNVMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
CPD South Meadows LLC Oral and Maxillofacial Surgery CurrentSince Apr 1, 2023 Accepting new patients
Renown Regional Medical Center PastSince Apr 1, 2023 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.

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

Verify at the official NPI Registry.