Active NPI
Stephen Nicholas Schroeder, D.D.S.
- Endodontics
- Richmond, VA
National Provider Identifier
1477814408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0401413581
- Practice address
- 3107 Hungary Spring Rd
Richmond, VA 23228 - Phone
- (804) 501-0501
- Fax
- (804) 501-0509
- NPI assigned
- Jun 6, 2012
- Last updated
- Jul 3, 2018
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401413581 | VA | |
| Endodontics | 1223E0200X | 0401413581 | VA | Primary |
Addresses
Primary practice location
3107 Hungary Spring Rd
Richmond, VA 23228
Mailing address
114 Virginia St
Apartment #311
Richmond, VA 23219-4124
Phone (434) 222-6656
Other practice location 1
1205 E Main St
LB1
Richmond, VA 23219-3666
Phone (804) 648-6684
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413581 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Endodontics | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endodontics
- Richmond, VA
- NPI 1497864466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1477814408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 VIRGINIA ST",
"address_2": "APARTMENT #311",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232194124",
"telephone_number": "434-222-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 HUNGARY SPRING RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23228",
"telephone_number": "804-501-0501",
"fax_number": "804-501-0509"
}
],
"practiceLocations": [
{
"address_1": "1205 E Main St",
"address_2": "LB1",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232193666",
"country_code": "US",
"telephone_number": "804-648-6684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHROEDER",
"first_name": "STEPHEN",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401413581",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "0401413581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.