Individual provider Active NPI

Gretchen M. Schnepper, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vancouver, WA
National Provider Identifier
1548324973
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
00010490 Issued in WA
Practice address
2702 NE 78TH St Ste 106
Vancouver, WA 98665-0649
Phone
(360) 260-5113
Fax
(360) 256-5096
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 00010490 WA Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 52778 CA

Addresses

Primary practice location

2702 NE 78TH St Ste 106
Vancouver, WA 98665-0649

Mailing address

2702 NE 78TH St Ste 106
Vancouver, WA 98665-0649
Phone (360) 260-5113

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
Master of Science

State licenses

LicenseStateTypeSpecialty
00010490WAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1548324973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 NE 78TH ST STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650649",
            "telephone_number": "360-260-5113",
            "fax_number": "360-256-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 NE 78TH ST STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650649",
            "telephone_number": "360-260-5113",
            "fax_number": "360-256-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEPPER",
        "first_name": "GRETCHEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "00010490",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "52778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.