David Jon Schrad, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6083 Issued in NE

Practice address

1415 Harney St Ste 100
Omaha, NE 68102-2250

Phone

(023) 417-5764

Fax

(402) 341-8975

NPI assigned

Oct 24, 2006

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Syracuse Dental Clinic LLC

  • Dental Clinic/Center
  • Syracuse, NE
  • NPI 1275989634
  NPD (past)
• Tranquil Teeth LLC

  dba Syracuse Dental Clinic

  • Dental Clinic/Center
  • Syracuse, NE
  • NPI 1316787138
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1578647848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HARNEY ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022250",
            "telephone_number": "402-341-7576",
            "fax_number": "402-341-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HARNEY ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022250",
            "telephone_number": "023-417-5764",
            "fax_number": "402-341-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAD",
        "first_name": "DAVID",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-03-20",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Schories
• Brecken Schossow
• Erin Leigh Schott, PT, DPT
• Jessica M Schott, PT, DPT
• Billie Jo A. Schrad, P.A.
• Alayna Marie Schrader, LICSW
• Ashley Marie Schrader, LPN
• Bernadette Schrader, RN, BSN
• Emma Marie Schrader
• Karen R Schrader, PA

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.