Individual provider Active NPI

Riley Margaret Schulz, DDS

  • General Practice Dentistry
  • Lakeville, MN
National Provider Identifier
1831874122
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D14925 Issued in MN
Practice address
16372 Kenrick Ave Ste 200
Lakeville, MN 55044-3502
Phone
(952) 435-5905
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D14925 MN Primary

Addresses

Primary practice location

16372 Kenrick Ave Ste 200
Lakeville, MN 55044-3502

Mailing address

3234 4TH St SE
Minneapolis, MN 55414-3320
Phone (715) 209-3836

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
D14925MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeville Family Dental Center, P.L.L.C. General Practice CurrentSince Dec 3, 2023 Accepting new patients

Locations

16372 Kenrick Ave
Ste 200
Lakeville, MN 55044
Phone (952) 435-5905

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1831874122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 4TH ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143320",
            "telephone_number": "715-209-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16372 KENRICK AVE STE 200",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443502",
            "telephone_number": "952-435-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "RILEY",
        "middle_name": "MARGARET",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.