Paris Nicole Schroeder

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-10215 Issued in IA

Practice address

217 W 6TH St
Storm Lake, IA 50588-1819

Phone

(712) 732-2319

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family First Dental Associates of Primghar, P.C.

  dba Family 1st Dental of Storm Lake

  • General Practice Dentistry
  • Storm Lake, IA
  • NPI 1952577611
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1669213674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 490TH ST",
            "city": "GRANVILLE",
            "state": "IA",
            "postal_code": "510228005",
            "telephone_number": "712-540-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W 6TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881819",
            "telephone_number": "712-732-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "PARIS",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-10215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Ruscitto, LMHC
• Tessa J Rydberg, APRN
• Sarah A Saionz, R.D., L.D.
• Jason L Schiernbeck, PT
• Courtney Jacinda Schlichte, PT, DPT
• Megan Schuck, ARNP
• Mark S Schultz, DO
• Emily Scott
• John Scott, DO
• Lori Jo Senne, APRN

• General Practice Dentistry in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.