Active NPI
Joel Barry Schoen, D.D.S.
- General Practice Dentistry
- Munster, IN
National Provider Identifier
1083728208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12007793A
- Practice address
- 548 Ridge Road Suite a
Munster, IN 46321-1722 - Phone
- (219) 836-9122
- Fax
- (219) 836-9123
- NPI assigned
- Aug 17, 2006
- 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 | 12007793A | IN | Primary |
Addresses
Primary practice location
548 Ridge Road Suite a
Munster, IN 46321-1722
Mailing address
548 Ridge Road Suite a
Munster, IN 46321-1722
Phone (219) 836-9122
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 |
|---|---|---|---|
| 12007793A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Orchid Dental LLP | General Practice | Past | Accepting new patients |
| Smile Care Experts LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Munster, IN
- NPI 1821456591
-
- General Practice Dentistry
- Munster, IN
- NPI 1457484420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083728208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 RIDGE ROAD SUITE A",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211722",
"telephone_number": "219-836-9122",
"fax_number": "219-836-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 RIDGE ROAD SUITE A",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211722",
"telephone_number": "219-836-9122",
"fax_number": "219-836-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOEN",
"first_name": "JOEL",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12007793A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.