Individual provider Active NPI

Tatum Murray Schad, DDS

  • Dentist
  • Liberty, MO
National Provider Identifier
1497257398
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2020034233 Issued in MO
Practice address
2 Westwoods Dr
Liberty, MO 64068-3519
Phone
(816) 781-1430
NPI assigned
Mar 6, 2018
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 060748 NY
Dentist 122300000X 2020034233 MO Primary

Addresses

Primary practice location

2 Westwoods Dr
Liberty, MO 64068-3519

Mailing address

2 Westwoods Dr
Liberty, MO 64068-3519
Phone (308) 520-6215

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
2020034233MOMDDentist
060748NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Sleep Midwest, LLC PastSince Nov 1, 2020 Accepting new patients
Tinsley & Shultz DDS PC PastSince Nov 1, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1497257398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WESTWOODS DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683519",
            "telephone_number": "308-520-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WESTWOODS DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683519",
            "telephone_number": "816-781-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAD",
        "first_name": "TATUM",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060748",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2020034233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.