Active NPI
Richard Jan Schoen, D.D.S.
- General Practice Dentistry
- Yreka, CA
National Provider Identifier
1003813858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23032
- Practice address
- 1519 S Oregon St
Yreka, CA 96097-3425 - Phone
- (530) 842-9200
- Fax
- (530) 842-9217
- NPI assigned
- Jul 7, 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 | 23032 | CA | Primary |
Addresses
Primary practice location
1519 S Oregon St
Yreka, CA 96097-3425
Mailing address
PO Box 1016
Happy Camp, CA 96039-1016
Phone (530) 493-1600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23032 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1003813858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1016",
"city": "HAPPY CAMP",
"state": "CA",
"postal_code": "960391016",
"telephone_number": "530-493-1600",
"fax_number": "530-493-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 S OREGON ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973425",
"telephone_number": "530-842-9200",
"fax_number": "530-842-9217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOEN",
"first_name": "RICHARD",
"middle_name": "JAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "23032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.