Organization Active NPI

Ryan Schroeder DDS PC

  • Dental Clinic/Center
  • Yale, MI
National Provider Identifier
1578853933
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901010920 Issued in MI
Legal business name
RYAN SCHROEDER DDS PC
Practice address
210 S Main St
Yale, MI 48097-3319
Phone
(810) 387-4746
NPI assigned
Apr 19, 2011
Last updated
Apr 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Laura Winkel
Title
Trust Officer
Phone
(414) 665-5211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901010920 MI Primary

Addresses

Primary practice location

210 S Main St
Yale, MI 48097-3319

Mailing address

611 E Wisconsin Ave
Milwaukee, WI 53202-4695

National Provider Directory

National Provider Directory

Locations

611 E Wisconsin Ave
Milwaukee, WI 53202

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1578853933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "YALE",
            "state": "MI",
            "postal_code": "480973319",
            "telephone_number": "810-387-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN SCHROEDER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "WINKEL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "TRUST OFFICER",
        "authorized_official_telephone_number": "414-665-5211"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901010920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.