Active NPI
Bruce Leland Schulz, DDS
- Dentist
- Burnsville, MN
National Provider Identifier
1487635256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7600
- Practice address
- 550 W. Burnsville Pkwy
Suite 200
Burnsville, MN 55337 - Phone
- (952) 890-2791
- Fax
- (952) 277-0200
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7600 | MN | Primary |
Addresses
Primary practice location
550 W. Burnsville Pkwy
Suite 200
Burnsville, MN 55337
Mailing address
550 W. Burnsville Pkwy
Suite 200
Burnsville, MN 55337
Phone (952) 890-2791
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7600 | MN | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of the City Dental | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Burnsville, MN
- NPI 1285726158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1487635256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W. BURNSVILLE PKWY",
"address_2": "SUITE 200",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "55337",
"telephone_number": "952-890-2791",
"fax_number": "952-277-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W. BURNSVILLE PKWY",
"address_2": "SUITE 200",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "55337",
"telephone_number": "952-890-2791",
"fax_number": "952-277-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "BRUCE",
"middle_name": "LELAND",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "7600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.