Jacob James Schroeder

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D14624 Issued in MN

Practice address

1901 South St Ste 2
Duluth, MN 55812-2117

Phone

(218) 727-3789

NPI assigned

Jul 8, 2021

Last updated

May 14, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Zenith City Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Duluth, MN
  • NPI 1679121511
  NPD

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1780255844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 GILLIAT ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042138",
            "telephone_number": "763-377-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOUTH ST STE 2",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122117",
            "telephone_number": "218-727-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JACOB",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14624",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D14624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Laura Scholz, RD, LD
• Cizzarie Leann Johnson Schomberg, CNP
• Rebekka L Schrecengost, PHARMD
• John B Schrock
• David G. Schroeder
• Michael Jacob Schroeder, MD
• Diane Kay Schubert, PHARMD
• Honah Marie Schul, RN
• Mary Noel Schuldt, CCC/SLP
• William Jack Schuldt Jr., DDS MS

• Orthodontics and Dentofacial Orthopedics Dentistry in Duluth, MN
• Providers in Duluth, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.