Individual provider Active NPI

Michael Joseph Schreder, DMD

  • General Practice Dentistry
  • Lancaster, PA
National Provider Identifier
1891880050
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS027834L Issued in PA
Practice address
151 Good Drive
Lancaster, PA 17603-2390
Phone
(717) 394-5260
Fax
(717) 394-1740
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS027834L PA Primary

Addresses

Primary practice location

151 Good Drive
Lancaster, PA 17603-2390

Mailing address

151 Good Drive
Lancaster, PA 17603-2390
Phone (717) 394-5260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629002856 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880906197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS027834LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Michael J & Jane a Schreder LLP General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891880050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 GOOD DRIVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032390",
            "telephone_number": "717-394-5260",
            "fax_number": "717-394-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 GOOD DRIVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032390",
            "telephone_number": "717-394-5260",
            "fax_number": "717-394-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREDER",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027834L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.