Dale L Schlais, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23865 Issued in WI

Practice address

1420 Algoma St
New London, WI 54961-2104

Phone

(920) 982-8300

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1508851403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 ALGOMA ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612104",
            "telephone_number": "920-982-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 ALGOMA ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612104",
            "telephone_number": "920-982-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAIS",
        "first_name": "DALE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "23865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31408200",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dale.schlais.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1420 Algoma St",
            "city": "New London",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549612104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Ross
• Cassandra Sue Rucks, PHARMD
• Jay T Rust Jr., PA
• Jennifer Schaffer, APNP
• Trillian Schlaeppi
• Lindsey Schmandt, RN
• Cheryl Schneider
• School District of New London
• Kara Schroeder, R.N.
• Kenneth John Schroeder I, MA, LPC

• Family Medicine Physician in New London, WI
• Providers in New London, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.