Organization Active NPI

Kenneth M. Schneider, Jr., D.D.S, P.a.

  • General Practice Dentistry
  • Cornelius, NC
National Provider Identifier
1891996948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6635 Issued in NC
Legal business name
KENNETH M. SCHNEIDER, JR., D.D.S, P.A.
Practice address
20905 Torrence Chapel Rd
Suite 201
Cornelius, NC 28031-4300
Phone
(704) 895-3320
Fax
(704) 895-3321
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Martin Schneider Jr., D.D.S.NPI 1033282439
Title
Dentist, Owner
Phone
(704) 895-3320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6635 NC Primary

Addresses

Primary practice location

20905 Torrence Chapel Rd
Suite 201
Cornelius, NC 28031-4300

Mailing address

PO Box 1322
Cornelius, NC 28031-1322
Phone (704) 895-3320

National Provider Directory

National Provider Directory

Locations

20905 Torrence Chapel Rd
Ste 201
Cornelius, NC 28031
Phone (704) 765-3150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891996948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1322",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280311322",
            "telephone_number": "704-895-3320",
            "fax_number": "704-895-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 TORRENCE CHAPEL RD",
            "address_2": "SUITE 201",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314300",
            "telephone_number": "704-895-3320",
            "fax_number": "704-895-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. SCHNEIDER, JR., D.D.S, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "704-895-3320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.