Individual provider Active NPI

Nicholas Theodore Schulte, DDS, MPH

  • General Practice Dentistry
  • Eagan, MN
National Provider Identifier
1760972749
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13992 Issued in MN
Practice address
1960 Cliff Lake Rd Ste 127
Eagan, MN 55122-2439
Phone
(651) 681-1676
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D13992MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brimhall Plymouth Current Accepting new patients
N&M DDS Current Accepting new patients
Dr Gerald W Rauchwarter DDS LLC General Practice Past Accepting new patients
A.M Dental Professionals P.a Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D13992 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

1960 Cliff Lake Rd Ste 127
Eagan, MN 55122-2439

Mailing address

1960 Cliff Lake Rd Ste 127
Eagan, MN 55122-2439

Other practice location 1

1036 1st Ave E
Shakopee, MN 55379-1607
Phone (952) 445-6220

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2018.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1760972749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 CLIFF LAKE RD STE 127",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 CLIFF LAKE RD STE 127",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222439",
            "telephone_number": "651-681-1676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 1st Ave E",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553791607",
            "country_code": "US",
            "telephone_number": "952-445-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "NICHOLAS",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.