Organization Active NPI

Gerard W Schneider DDS PC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1962577973
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3428 Issued in AZ
Legal business name
GERARD W SCHNEIDER DDS PC
Practice address
5155 N 16TH St
Phoenix, AZ 85016-3917
Phone
(602) 266-3867
Fax
(602) 266-3821
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dr. Gerard W Schneider, D.D.S.NPI 1114159233
Title
President
Phone
(602) 266-3867

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 3428 AZ Primary

Addresses

Primary practice location

5155 N 16TH St
Phoenix, AZ 85016-3917

Mailing address

5155 N 16TH St
Phoenix, AZ 85016-3917
Phone (602) 266-3867

Other names 1

  • Phoenician Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5155 N 16th St
Phoenix, AZ 85016
Phone (602) 265-5155

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1962577973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163917",
            "telephone_number": "602-266-3867",
            "fax_number": "602-266-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163917",
            "telephone_number": "602-266-3867",
            "fax_number": "602-266-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD W SCHNEIDER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-266-3867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenician Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.