Robert Schroetlin, DDS, FACP

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

D-4284 Issued in ID

Practice address

1215 E 6TH St
Moscow, ID 83843-3705

Phone

(208) 882-6570

NPI assigned

Jan 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1740511344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 3RD AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E 6TH ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433705",
            "telephone_number": "208-882-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROETLIN",
        "first_name": "ROBERT",
        "credential": "DDS, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "ID",
            "license": "D-4284",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OR",
            "license": "D9413",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE00010231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan J Schmidt, MD
• Barret Schneider
• William Schneider Jr.
• Alli Schomburg
• Kameron Schott, LAC, MAOM, DIPL. OM
• Sandee Schumacher, MS CCC SLP
• Jovane L. Schwecke, CST
• Scott Community Care, PLLC
• Scott Community Care, PLLC
• Scott Community Care, PLLC

• Prosthodontics in Moscow, ID
• Providers in Moscow, ID by specialty
• Prosthodontics in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.