Thomas Cornelius Schoenbaum, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23377 Issued in CA

Practice address

23838 Valencia Blvd
Suite 250
Valencia, CA 91355-5319

Phone

(661) 255-3924

Fax

(661) 255-6591

NPI assigned

Dec 6, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1336322932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23838 VALENCIA BLVD",
            "address_2": "SUITE 250",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555319",
            "telephone_number": "661-255-3924",
            "fax_number": "661-255-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23838 VALENCIA BLVD",
            "address_2": "SUITE 250",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555319",
            "telephone_number": "661-255-3924",
            "fax_number": "661-255-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBAUM",
        "first_name": "THOMAS",
        "middle_name": "CORNELIUS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SCCT Medical Group, PC
• Kimber Lea Schafer, M.F.T.
• Samantha Scheets, MS, BCBA
• David Matthew Schmidt, M.D.
• Amber Kristan Schneider, RBT
• Lindsey Eileen Schoenberger, M.A., B.C.B.A.
• Michael A Schoenwetter, M.D.
• Victoria Schooler, PA
• Robert Schroeder, M.D.
• Jessica Schulman, RD, CLE

• General Practice Dentistry in Valencia, CA
• Providers in Valencia, 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 Dec 6, 2007; 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.