Kyle P Schroeder, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3873 Issued in WI

Practice address

600 S Main St
Oshkosh, WI 54902-6074

Phone

(920) 233-8882

Fax

(920) 303-2736

NPI assigned

Jan 23, 2006

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 24, 2017 through Apr 24, 2027

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 and National Provider Directory roles.

• Terry L. Kippa DDS SC

  • Endodontics
  • Oshkosh, WI
  • NPI 1487812855
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1679543714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026074",
            "telephone_number": "920-233-8882",
            "fax_number": "920-303-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026074",
            "telephone_number": "920-233-8882",
            "fax_number": "920-303-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "KYLE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "3873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Schnering, BSW
• Wendi R Schoenfeldt, RN
• School Solutions LLC
• Bethany Schoonover
• Anne Katherine Schramm, LPC
• Nicole Helen Schroeder, DC
• Rebecca Ann Schroeder, RN
• Rebekah R Schroeder, MD
• Thomas S Schuller, LPC
• Schultz Pharmacy Inc

• Endodontics in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.