Organization Active NPI

Thomas Schroepfer, DDS, SC

  • General Practice Dentistry
  • Marinette, WI
National Provider Identifier
1952521692
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001489 Issued in WI
Legal business name
THOMAS SCHROEPFER, DDS, SC
Practice address
3212 Cleveland Ave
Marinette, WI 54143-3743
Phone
(715) 735-9490
Fax
(715) 735-9492
NPI assigned
Apr 26, 2007
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Mrs. Connie Schroepfer
Title
Office Manager
Phone
(715) 735-9490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5001489 WI Primary

Addresses

Primary practice location

3212 Cleveland Ave
Marinette, WI 54143-3743

Mailing address

3212 Cleveland Ave
Marinette, WI 54143-3743
Phone (715) 735-9490

National Provider Directory

National Provider Directory

Locations

3212 Cleveland Ave
Marinette, WI 54143
Phone (715) 735-9490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1952521692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 CLEVELAND AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433743",
            "telephone_number": "715-735-9490",
            "fax_number": "715-735-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 CLEVELAND AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433743",
            "telephone_number": "715-735-9490",
            "fax_number": "715-735-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS SCHROEPFER, DDS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "SCHROEPFER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-735-9490",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.