Active NPI
Jeffrey J Schroeder, DDS
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1992793079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5710
- Practice address
- 841 N. 98TH Street
Omaha, NE 68114-2338 - Phone
- (402) 934-5397
- Fax
- (402) 933-1286
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5710 | NE | Primary |
Addresses
Primary practice location
841 N. 98TH Street
Omaha, NE 68114-2338
Mailing address
841 N. 98TH Street
Omaha, NE 68114-2338
Phone (402) 934-5397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188152 | Other | UNITED CONCORDIA CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1992793079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 N. 98TH STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142338",
"telephone_number": "402-934-5397",
"fax_number": "402-933-1286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 N. 98TH STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142338",
"telephone_number": "402-934-5397",
"fax_number": "402-933-1286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "JEFFREY",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "5710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA CO",
"identifier": "188152",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.