Active NPI
Stephen G. Schulte, DDS
- General Practice Dentistry
- Lenexa, KS
National Provider Identifier
1578679353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5736
- Practice address
- 15301 W 87TH Street Pkwy
Ste 210
Lenexa, KS 66219-1401 - Phone
- (913) 492-0588
- Fax
- (913) 492-0588
- NPI assigned
- Aug 22, 2006
- Reactivated
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5736 | KS | Primary |
Addresses
Primary practice location
15301 W 87TH Street Pkwy
Ste 210
Lenexa, KS 66219-1401
Mailing address
15301 W 87TH Street Pkwy
Ste 210
Lenexa, KS 66219-1401
Phone (913) 492-0588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08883038 | Other | KS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2014 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5736 | KS | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578679353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15301 W 87TH STREET PKWY",
"address_2": "STE 210",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191401",
"telephone_number": "913-492-0588",
"fax_number": "913-492-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 W 87TH STREET PKWY",
"address_2": "STE 210",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191401",
"telephone_number": "913-492-0588",
"fax_number": "913-492-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTE",
"first_name": "STEPHEN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"deactivation_date": "2006-12-18",
"reactivation_date": "2007-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "5736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08883038",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.