Frederick Leroy Schaefer III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3763-015 Issued in WI

Practice address

5955 Zeamer Ave
Anchorage, AK 99506-3702

Phone

(907) 580-5028

NPI assigned

Jan 31, 2006

Last updated

Sep 24, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1881665370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 BROOKRIDGE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044277",
            "telephone_number": "190-770-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "FREDERICK",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3763-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scenic Manor 2 Inc
• Scenic Manor Assisted Living Homes
• Peter C Schaab, M.D.
• Andrew David Schaar, MD
• Ashley Rene Schaber, PHARMD
• Mark R Schaeffer
• Robert Kilian Schafer Jr., M.D.
• Karin Lee Schaff, M.S., L.M.F.T
• Cherry Narvasa Schaffan, MSW
• Stephen B Schaffer, M.D.

• General Practice Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.