Robert Clark Scheele, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008935 Issued in IN

Practice address

10729 Coldwater Rd # 200
Fort Wayne, IN 46845-1238

Phone

(260) 637-6144

Fax

(260) 637-7144

NPI assigned

Nov 2, 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

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.

• BDD of Indiana, P.C.

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1245015031

  General Practice

  NPD (past)
• BDD RCS PC

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1982572848

  General Practice

  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699853028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10729 COLDWATER RD # 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451238",
            "telephone_number": "260-637-6144",
            "fax_number": "260-637-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10729 COLDWATER RD # 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451238",
            "telephone_number": "260-637-6144",
            "fax_number": "260-637-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEELE",
        "first_name": "ROBERT",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley L Schantz, MD
• Jean M Schantz, MD
• Oliver Schantz, M.D.
• Grace Scharlach
• Erin Anne Scheele
• Ronald Scheeringa, MD
• Isabel Scheffer
• Jenna Scheiber
• Angela D Scheid, PNP
• Jennifer Lea Scheiderer, PT

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.