Individual provider Active NPI

Kailey Fritz Schlageter, DDS

  • Dentist
  • Peoria, AZ
National Provider Identifier
1467982769
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009786 Issued in AZ
Practice address
15182 N 75TH Ave Ste 120
Peoria, AZ 85381-4722
Phone
(623) 688-5099
NPI assigned
Jun 19, 2017
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009786 AZ Primary

Addresses

Primary practice location

15182 N 75TH Ave Ste 120
Peoria, AZ 85381-4722

Mailing address

13440 N 44TH St Apt 3088
Phoenix, AZ 85032-6398
Phone (715) 410-7079

Other names 1

  • Dr. Kailey Rose Fritz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D009786AZMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1467982769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13440 N 44TH ST APT 3088",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326398",
            "telephone_number": "715-410-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15182 N 75TH AVE STE 120",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814722",
            "telephone_number": "623-688-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAGETER",
        "first_name": "KAILEY",
        "middle_name": "FRITZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILEY",
            "last_name": "FRITZ",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.