Gregory Blaine Scheideman, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12234 Issued in TX

Practice address

4300 Oak Park LN
Fort Worth, TX 76109-1512

Phone

(817) 731-2789

Fax

(817) 207-9980

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 17, 2014 through Mar 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Williams, Scheideman & Runyon, DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Worth, TX
  • NPI 1801913207
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225070030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 OAK PARK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091512",
            "telephone_number": "817-731-2789",
            "fax_number": "817-207-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 OAK PARK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091512",
            "telephone_number": "817-731-2789",
            "fax_number": "817-207-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDEMAN",
        "first_name": "GREGORY",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "12234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Schatzman
• Stephanie L Schaumberg, MD, MBA
• Bernd Roland Scheffler, CHW, CHW-I
• Jordan Schehin, OTD, OTR/L
• Brian L Schehrer
• Kristen D Scheirman, MS, CCC-SLP
• Kami Gay Scheller, RPH
• Nicole Schepers
• Elizabeth Scherer, O.D.
• Christian Scheufele, DO

• Oral and Maxillofacial Surgery (Dentist) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.