Individual provider Active NPI

Karley Rita Schneider, D.M.D.

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1528476330
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10095 Issued in OR
Practice address
1607 W Ina Rd
Tucson, AZ 85704-1979
Phone
(520) 888-2900
Fax
(520) 408-1854
NPI assigned
Jul 24, 2014
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D10095 OR Primary

Addresses

Primary practice location

1607 W Ina Rd
Tucson, AZ 85704-1979

Mailing address

1607 W Ina Rd
Tucson, AZ 85704-1979
Phone (520) 888-2900

Other names 1

  • Karley Rita Bedford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110001131 OR Order and Referring Only - DentistPractitioner - Dentist 2264742980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schneider Dental Current 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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1528476330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041979",
            "telephone_number": "520-888-2900",
            "fax_number": "520-408-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041979",
            "telephone_number": "520-888-2900",
            "fax_number": "520-408-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KARLEY",
        "middle_name": "RITA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2021-03-16",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLEY",
            "last_name": "BEDFORD",
            "middle_name": "RITA",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.