Active NPI
Robert Schoenenberger, DDS
- Dentist
- Sheboygan, WI
National Provider Identifier
1053508259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4803
- Practice address
- 2202 Indiana Ave
Sheboygan, WI 53081-4769 - Phone
- (920) 452-8042
- NPI assigned
- Oct 2, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4803 | WI | Primary |
Addresses
Primary practice location
2202 Indiana Ave
Sheboygan, WI 53081-4769
Mailing address
2202 Indiana Ave
Sheboygan, WI 53081-4769
Phone (920) 452-8042
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1053508259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 INDIANA AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814769",
"telephone_number": "920-452-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 INDIANA AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814769",
"telephone_number": "920-452-8042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENENBERGER",
"first_name": "ROBERT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "4803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.