Ronald A Shoemaker, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38161 Issued in CA

Practice address

510 W 5TH St
Oxnard, CA 93030-7048

Phone

(805) 487-8879

Fax

(805) 487-8242

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 31, 2016 through Mar 31, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1194831487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W 5TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307048",
            "telephone_number": "805-487-8879",
            "fax_number": "805-487-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W 5TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307048",
            "telephone_number": "805-487-8879",
            "fax_number": "805-487-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3816101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoar-Gavin Chiropractic, Inc
• Shoar-Gavin Chiropractic, Inc
• Shoar-Gavin Chiropractic, Inc.
• Shoar-Gavin Los Quiropracticos,S.C.
• Michael M Shoar, D.C.
• Shoreline Psychology and Wellness Corporation
• Shorouq Sahawneh
• Emily Shotts, NP
• Melissa Showers
• Salim Juma Shua

• General Practice Dentistry in Oxnard, CA
• Providers in Oxnard, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.