Taylor Schubert, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002547-15 Issued in WI

Practice address

701 W Park Ave
Kiel, WI 53042-1717

Phone

(920) 894-2626

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Schubert Family Dental

  • Dental Clinic/Center
  • Kiel, WI
  • NPI 1932069382
  NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1760052047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5283 BECHAUD BEACH DRIVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-960-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W PARK AVE",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530421717",
            "telephone_number": "920-894-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBERT",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002547-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Schick, P.T.
• Schleicher Chiropractic, SC
• Michael D Schleicher, D.C.
• Deborah Lee Schmidt, RN
• Schubert Family Dental
• Victor Schueller, DC
• Prachi Shah, DMD
• Shopko Stores Operating Co LLC (Shopko Pharmacy 609)
• Hannah Smith, PT
• Tesa Le Anne Tapuriah, MSAC, CSAC, ICADC

• General Practice Dentistry in Kiel, WI
• Providers in Kiel, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.