Individual provider Active NPI

Anne Rochelle Schoenhard, D.D.S.

  • General Practice Dentistry
  • San Carlos, CA
National Provider Identifier
1114008125
Registry record updated May 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59070 Issued in CA
Practice address
751 Laurel St # 811
San Carlos, CA 94070-3113
Phone
(615) 775-8836
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59070 CA Primary

Addresses

Primary practice location

751 Laurel St # 811
San Carlos, CA 94070-3113

Mailing address

751 Laurel St # 811
San Carlos, CA 94070-3113
Phone (615) 775-8836

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

LicenseStateTypeSpecialty
59070CAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400976000000",
    "number": "1114008125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 LAUREL ST # 811",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703113",
            "telephone_number": "615-775-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LAUREL ST # 811",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703113",
            "telephone_number": "615-775-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENHARD",
        "first_name": "ANNE",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.