Organization Active NPI

Kendall R. Schumacher DMD PLLC

  • Dentist
  • Melbourne, FL
National Provider Identifier
1245772052
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20308 Issued in FL
Legal business name
KENDALL R. SCHUMACHER DMD PLLC
Practice address
418 E New Haven Ave
Melbourne, FL 32901-4508
Phone
(321) 514-0021
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Dr. Kendall Roy Schumacher, DMD
Title
Dentist/Owner
Phone
(321) 514-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN20308 FL Primary

Addresses

Primary practice location

418 E New Haven Ave
Melbourne, FL 32901-4508

Mailing address

418 E New Haven Ave
Melbourne, FL 32901-4508
Phone (321) 514-0021

National Provider Directory

National Provider Directory

Locations

418 E New Haven Ave
Melbourne, FL 32901
Phone (321) 514-0021

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1245772052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014508",
            "telephone_number": "321-514-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014508",
            "telephone_number": "321-514-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL R. SCHUMACHER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "321-514-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.