Individual provider Active NPI

Gregory Stephen Schumm, D.D.S.

  • General Practice Dentistry
  • Fountain Valley, CA
National Provider Identifier
1316940307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25763 Issued in CA
Practice address
9092 Talbert Ave
Ste 12
Fountain Valley, CA 92708-4475
Phone
(714) 963-6696
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25763 CA Primary

Addresses

Primary practice location

9092 Talbert Ave
Ste 12
Fountain Valley, CA 92708-4475

Mailing address

9092 Talbert Ave
Ste 12
Fountain Valley, CA 92708-4475
Phone (714) 963-6696

Other names 1

  • Dr. Steve Schumm Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723009676 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2163735846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25763CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie N. Pham, DDS Inc General Practice Past Accepting new patients
Moller&Irenedmd, Inc PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316940307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9092 TALBERT AVE",
            "address_2": "STE 12",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084475",
            "telephone_number": "714-963-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9092 TALBERT AVE",
            "address_2": "STE 12",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084475",
            "telephone_number": "714-963-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMM",
        "first_name": "GREGORY",
        "middle_name": "STEPHEN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVE",
            "last_name": "SCHUMM",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.