Dr Jesse Schroeder PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

16371 Issued in TX

Legal business name

DR JESSE SCHROEDER PA

Practice address

1201 Hall Johnson Rd
Colleyville, TX 76034

Phone

(817) 514-6253

Fax

(817) 514-6230

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Nathan Schroeder, DDS MSNPI 1164543831

Title

Owner Orthodontist

Phone

(817) 514-6253

Specialties & licenses 1

Addresses

Other names 1

• Schroeder Orthodontics Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Nathan Schroeder, DDS,MS,PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colleyville, TX
  • NPI 1164543831
  NPD (past) Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1609979814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1948",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-514-6253",
            "fax_number": "817-514-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HALL JOHNSON RD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-514-6253",
            "fax_number": "817-514-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JESSE SCHROEDER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER ORTHODONTIST",
        "authorized_official_telephone_number": "817-514-6253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "16371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schroeder Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Cristina Dorsett
• Manasa Dotson
• Steven Dotson, DC
• Stephen Aaron Douglas, D.D.S.
• Jill D. Doyle, P.T.
• Dr. Giovonni Quiroz Chiropractor, Inc.
• Diana Driscoll
• Richard Allen Driscoll, O.D.
• Natalie Droogsma, PT
• DRS. Calabria-Ellis, P.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.