Active NPI
Frederica Ann Hoff Schuster, D.D.S.
- General Practice Dentistry
- Verona, WI
National Provider Identifier
1639179245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4411
- Practice address
- 1100 E Verona Ave
Verona, WI 53593-8717 - Phone
- (608) 845-6601
- Fax
- (608) 845-1264
- NPI assigned
- Jul 26, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4411-015 | WI | |
| General Practice Dentistry | 1223G0001X | 4411 | WI | Primary |
Addresses
Primary practice location
1100 E Verona Ave
Verona, WI 53593-8717
Mailing address
1209 Shorewood Blvd
Madison, WI 53705-2265
Phone (608) 217-6964
Other practice location 1
2960 Triverton Pike Dr
Suite 104
Fitchburg, WI 53711-5896
Phone (608) 276-8800
Other names 1
- Frederica Hoff Schuster
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181226000490 | WI | Order and Referring Only - Dentist | 6608174792 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4411-015 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1639179245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 SHOREWOOD BLVD",
"city": "MADISON",
"state": "WI",
"postal_code": "537052265",
"telephone_number": "608-217-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E VERONA AVE",
"city": "VERONA",
"state": "WI",
"postal_code": "535938717",
"telephone_number": "608-845-6601",
"fax_number": "608-845-1264"
}
],
"practiceLocations": [
{
"address_1": "2960 Triverton Pike Dr",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "WI",
"postal_code": "537115896",
"country_code": "US",
"telephone_number": "608-276-8800",
"fax_number": "608-276-1327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHUSTER",
"first_name": "FREDERICA",
"middle_name": "ANN HOFF",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "4411-015",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "4411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FREDERICA",
"last_name": "SCHUSTER",
"middle_name": "HOFF",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Verona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.