Rudy J Schneider, MD DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2211 Issued in ND

Practice address

3187 Blue Stem Dr Ste 4
West Fargo, ND 58078-8008

Phone

(701) 235-7379

Fax

(701) 235-0977

NPI assigned

Sep 7, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial Surgery

Education

Univ of Nebraska Medical Center, Col of Dentistry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Oral and Facial Surgery PCGroup PAC ID 3072617455, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Hospital, Fargo, ND, CCN 350070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Valley Oral & Facial Surgery PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Grand Forks, ND
  • NPI 1801959788
  Medicare reassignment Care Compare group NPD
• Oral Maxillo Facial Surgeons, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1760576813
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Innovis Health, LLC

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Care Compare affiliation

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1790889152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S COLUMBIA RD STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014007",
            "telephone_number": "701-772-7379",
            "fax_number": "701-772-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3187 BLUE STEM DR STE 4",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788008",
            "telephone_number": "701-235-7379",
            "fax_number": "701-235-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "RUDY",
        "middle_name": "J",
        "credential": "MD DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ND",
            "license": "2211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14082",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40154",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Schempp, MS CCC-SLP
• Bethany Schill
• Kari M Schiller, CCC-SLP
• Katherine M Schjeldahl, PHD
• Kristin Schmidt, FNP-C
• Landi Schock, RN, PMH-NP
• Grace Schoeneck
• Lisa Anne Schroeder, RN, BSN, CCM, CWCP
• Nicholas David Schulz, OTR/L
• Jennifer J Schumacher, LCSW

• Oral and Maxillofacial Surgery (Dentist) in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.