Individual provider Active NPI

S. Craig Schneider, D.D.S., M.A.G.D.

  • Endodontics
  • Columbia, MD
National Provider Identifier
1861687840
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8483 Issued in MD
Practice address
8885 Centre Park Dr Ste 2E
Columbia, MD 21045-2199
Phone
(410) 715-8951
Fax
(410) 715-8949
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 8483 MD Primary

Addresses

Primary practice location

8885 Centre Park Dr Ste 2E
Columbia, MD 21045-2199

Mailing address

3024 Seneca Chief TRL
Ellicott City, MD 21042-1418
Phone (410) 591-5217

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
8483MDMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1861687840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 SENECA CHIEF TRL",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421418",
            "telephone_number": "410-591-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 CENTRE PARK DR STE 2E",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452199",
            "telephone_number": "410-715-8951",
            "fax_number": "410-715-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "S.",
        "middle_name": "CRAIG",
        "credential": "D.D.S., M.A.G.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "8483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.