Robert Dewayne Schroeder, DENTUREST L.D.

Primary specialty

DenturistTaxonomy code 122400000X

License

174 Issued in OR

Practice address

1010 NE 7TH St
Grants Pass, OR 97526-1420

Phone

(541) 476-7483

Fax

(541) 955-8029

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• River City Denture and Dental

  • Dentist
  • Grants Pass, OR
  • NPI 1487894960
  NPD (past) Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689698797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261420",
            "telephone_number": "541-476-7483",
            "fax_number": "541-955-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261420",
            "telephone_number": "541-476-7483",
            "fax_number": "541-955-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "ROBERT",
        "middle_name": "DEWAYNE",
        "name_prefix": "Mr.",
        "credential": "DENTUREST L.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "127824",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren J Schmitt, QMHA
• Alexandria Schram
• Moriah L Schrijn, QMHA
• Debbie Schroeder
• Jamie Schroeder
• Andy Lee Schultz
• Christina Ann Marie Schultz, LMT
• Kimberlee Lynn Schuttpelz, RPH
• Maureen Schwartz
• Michael W Schwartz, O.D.

• Denturist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Denturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.