Active NPI
Roy Franklin Schoppert III, DDS
- Dentist
- Rio Rancho, NM
National Provider Identifier
1275710170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2780
- Practice address
- 1316 Jackie Rd SE
Suite #300
Rio Rancho, NM 87124-6618 - Phone
- (505) 994-9693
- NPI assigned
- Jan 23, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2780 | NM | Primary |
Addresses
Primary practice location
1316 Jackie Rd SE
Suite #300
Rio Rancho, NM 87124-6618
Mailing address
1316 Jackie Rd SE
Suite #300
Rio Rancho, NM 87124
Phone (505) 994-9693
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 |
|---|---|---|---|
| 2780 | NM | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1275710170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 JACKIE RD SE",
"address_2": "SUITE #300",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "87124",
"telephone_number": "505-994-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 JACKIE RD SE",
"address_2": "SUITE #300",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871246618",
"telephone_number": "505-994-9693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOPPERT",
"first_name": "ROY",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "2780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.