Active NPI
Benjamin Schremp, DDS
- General Practice Dentistry
- Perryville, MO
National Provider Identifier
1639662836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2018017604
- Practice address
- 12 S Jackson St
Perryville, MO 63775-2515 - Phone
- (573) 547-5570
- NPI assigned
- Jun 12, 2018
- 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 | 2018017604 | MO | Primary |
Addresses
Primary practice location
12 S Jackson St
Perryville, MO 63775-2515
Mailing address
12 S Jackson St
Perryville, MO 63775-2515
Phone (573) 547-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018017604 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schremp Family Dentistry LLC | Current | Accepting new patients |
Locations
12 S Jackson St
Perryville, MO 63775
Phone (573) 547-5570
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Perryville, MO
- NPI 1316660897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1639662836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 S JACKSON ST",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637752515",
"telephone_number": "573-547-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 S JACKSON ST",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637752515",
"telephone_number": "573-547-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREMP",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2018017604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perryville, MO
- Sage Services LLC
- Mark B. Schabbing, M.D.
- Brenda Kay Schmidt, RN MA NCC LPC
- Andrea Schreiner, OTR/L, MOT
- Schremp Family Dentistry LLC
- Carrie G Schubert, LPC
- Ethan Seyer, CRNA
- Melissa M Shands, FNP-BC
- Shannon's Neighborhood Center for Handicapped Citizen's, Inc (Shannon's Neighborhood DBA Cora Lane)
- Shannon's Neighborhood Center for Handicapped Citizens, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.