Active NPI
William Kerr Schuyler, DMD
- Pediatric Dentistry
- Roseburg, OR
National Provider Identifier
1679569313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 4664
- Practice address
- 1741 W Harvard Ave
Roseburg, OR 97471-2716 - Phone
- (541) 672-5535
- Fax
- (541) 672-7651
- NPI assigned
- Sep 27, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 4664 | OR | Primary |
Addresses
Primary practice location
1741 W Harvard Ave
Roseburg, OR 97471-2716
Mailing address
1741 W Harvard Ave
Roseburg, OR 97471-2716
Phone (541) 672-5535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18313-7 | Other | OR | DMAP/DHS |
Other names 1
- Bill Schuyler
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bill Schuyler DMD PC | Pediatric Dentistry | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Roseburg, OR
- NPI 1497962211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1679569313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 W HARVARD AVE",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974712716",
"telephone_number": "541-672-5535",
"fax_number": "541-672-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 W HARVARD AVE",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974712716",
"telephone_number": "541-672-5535",
"fax_number": "541-672-7651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUYLER",
"first_name": "WILLIAM",
"middle_name": "KERR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OR",
"license": "4664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMAP/DHS",
"identifier": "18313-7",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BILL",
"last_name": "SCHUYLER",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.