Individual provider Active NPI

Brian G Schroepfer, DDS

  • Dentist
  • Marinette, WI
National Provider Identifier
1992891923
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5734015 Issued in WI
Practice address
3212 Cleveland Ave
Schroepfer Family Dental
Marinette, WI 54143-3743
Phone
(715) 735-9490
Fax
(715) 735-9492
NPI assigned
Oct 5, 2006
Last updated
Dec 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5734015 WI Primary

Addresses

Primary practice location

3212 Cleveland Ave
Schroepfer Family Dental
Marinette, WI 54143-3743

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150527002424 WI Order and Referring Only - DentistPractitioner - Dentist 3779803002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5734015WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Schroepfer, DDS, SC 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1992891923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 CLEVELAND AVE",
            "address_2": "SCHROEPFER FAMILY DENTAL",
            "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",
            "address_2": "SCHROEPFER FAMILY DENTAL",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433743",
            "telephone_number": "715-735-9490",
            "fax_number": "715-735-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEPFER",
        "first_name": "BRIAN",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5734015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marinette, WI

Sources for this page

Verify at the official NPI Registry.