Individual provider Active NPI

Michael J Schneidler, DDS

  • General Practice Dentistry
  • Pewaukee, WI
National Provider Identifier
1699833848
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2722 Issued in WI
Practice address
1231 George Towne Dr
Suite D
Pewaukee, WI 53072-2755
Phone
(262) 691-9832
Fax
(262) 691-9871
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2722 WI Primary

Addresses

Primary practice location

1231 George Towne Dr
Suite D
Pewaukee, WI 53072-2755

Mailing address

1231 George Towne Dr
Suite D
Pewaukee, WI 53072-2755
Phone (262) 691-9832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608002414 WI Order and Referring Only - DentistPractitioner - Dentist 2466773056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2722WIMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1699833848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 GEORGE TOWNE DR",
            "address_2": "SUITE D",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722755",
            "telephone_number": "262-691-9832",
            "fax_number": "262-691-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 GEORGE TOWNE DR",
            "address_2": "SUITE D",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722755",
            "telephone_number": "262-691-9832",
            "fax_number": "262-691-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDLER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

Verify at the official NPI Registry.