Michael Schaake, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

37849 Issued in TX

Practice address

13291 Caramel TRL
Eden Prairie, MN 55346-3238

Phone

(651) 271-8283

NPI assigned

Sep 10, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1710656806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13291 CARAMEL TRL",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553463238",
            "telephone_number": "651-271-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13291 CARAMEL TRL",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553463238",
            "telephone_number": "651-271-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAKE",
        "first_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "26403",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sartorial Physical Therapy and Wellness
• Susan M Saunders
• Maggie Marie Sazama, RDN
• Craig Scanlan
• Richard John Scanlon Jr., M.A., L.P.
• McKenzie J Schable
• Erik Schaefer, RPH
• Jeana Marie Schafer
• Jennifer Scheid
• Erica Leigh Scheifflee, M.S., CCC-SLP

• Dentist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.