Active NPI
Michael Nery Schulte, DDS PHD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Waynesville, MO
National Provider Identifier
1528426145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2016012463
- Practice address
- 100 Lafayette Cir
Waynesville, MO 65583-2430 - Phone
- (573) 525-5141
- NPI assigned
- Feb 10, 2016
- Last updated
- Jun 21, 2019
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2016012463 | MO | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
100 Lafayette Cir
Waynesville, MO 65583-2430
Mailing address
5800 3Rd Ave
Brooklyn, NY 11220-3702
Phone (303) 547-7174
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016012463 | MO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axpm - Merkley, LLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Rock Dental Missouri LLC | Orthodontics and Dentofacial Orthopedics | Past | 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.
-
dba Stryker Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lebanon, MO
- NPI 1457861320
-
dba Leap Kids Dental
- Dentist
- West Plains, MO
- NPI 1972014504
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1528426145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203702",
"telephone_number": "303-547-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LAFAYETTE CIR",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "655832430",
"telephone_number": "573-525-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTE",
"first_name": "MICHAEL",
"middle_name": "NERY",
"name_prefix": "Dr.",
"credential": "DDS PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-10",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MO",
"license": "2016012463",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.