Individual provider Active NPI

Debra L. Schardt, RDH

  • Dental Hygienist
  • Carleton, NE
National Provider Identifier
1548402480
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
1024 Issued in NE
Practice address
5644 Road U
Carleton, NE 68326-4116
Phone
(402) 310-4428
Fax
(402) 365-4262
NPI assigned
Mar 24, 2009
Last updated
Mar 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1024 NE Primary

Addresses

Primary practice location

5644 Road U
Carleton, NE 68326-4116

Mailing address

5644 Road U
Carleton, NE 68326-4116
Phone (402) 310-4428

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

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1548402480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 ROAD U",
            "city": "CARLETON",
            "state": "NE",
            "postal_code": "683264116",
            "telephone_number": "402-310-4428",
            "fax_number": "402-365-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 ROAD U",
            "city": "CARLETON",
            "state": "NE",
            "postal_code": "683264116",
            "telephone_number": "402-310-4428",
            "fax_number": "402-365-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARDT",
        "first_name": "DEBRA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NE",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.