Amy Lynne Schrader, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2015017077 Issued in MO

Practice address

4746 Belleview Ave
Kansas City, MO 64112-1315

Phone

(816) 287-8133

NPI assigned

Jun 12, 2015

Last updated

Jun 12, 2015By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 23, 2015 through Jun 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1811378003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4746 BELLEVIEW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121315",
            "telephone_number": "816-287-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 BELLEVIEW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121315",
            "telephone_number": "816-287-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2015017077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Schow, M.D.
• Bradley Philip Schow, M.D.
• Carolyn Schowengerdt
• Raschelle Leanne Schowengerdt, M.D.
• Samuel Wieland Schowengerdt, MD
• Nolan William Schrader
• Samuel John Schrader
• Caleb C Schraeder, RN
• Andrew Marvin Schramm, PHARM.D.
• Alexandra Schray, MD

• Dentist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.