Kathryn Schneibel, DMD
Individual provider Active NPI Dentist · Fargo, ND
NPI 1770955288 · NPPES record last updated Oct 23, 2015
Key facts
- NPI
- 1770955288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2274 (ND)
- Practice address
- 1650 45TH St S
Ste 108
Fargo, ND 58103-3246 - Phone
- (701) 566-9360
- NPI assigned
- Oct 23, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2274 | ND | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2274 | ND | Yes |
Addresses
Primary practice location
1650 45TH St S
Ste 108
Fargo, ND 58103-3246
Mailing address
1650 45TH St S
Ste 108
Fargo, ND 58103-3246
Phone (701) 566-9360
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.