Active NPI
Dennis Dale Schreffler, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Sheridan, WY
National Provider Identifier
1487672309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 4544A
- Practice address
- 1401 W 5TH St
Sheridan, WY 82801-2705 - Phone
- (307) 672-1041
- NPI assigned
- Jul 18, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4544A | WY | Primary |
Addresses
Primary practice location
1401 W 5TH St
Sheridan, WY 82801-2705
Mailing address
PO Box 807
Sheridan, WY 82801-0807
Phone (307) 672-1041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114847800 | Medicaid | WY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4544A | WY | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1487672309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 807",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828010807",
"telephone_number": "307-672-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W 5TH ST",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012705",
"telephone_number": "307-672-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREFFLER",
"first_name": "DENNIS",
"middle_name": "DALE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WY",
"license": "4544A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114847800",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.