Individual provider Active NPI

Joseph Michael Schoening, D.D.S.

  • Dentist
  • Cherry Valley, IL
National Provider Identifier
1457413726
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019016398 Issued in IL
Practice address
1574 S Bell School Rd
Cherry Valley, IL 61016-9362
Phone
(815) 229-1110
NPI assigned
Dec 14, 2006
Last updated
May 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019016398 IL Primary

Addresses

Primary practice location

1574 S Bell School Rd
Cherry Valley, IL 61016-9362

Mailing address

1574 S Bell School Rd
Cherry Valley, IL 61016-9362
Phone (815) 229-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160201000236 IL Order and Referring Only - DentistPractitioner - Dentist 7911201603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019016398ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ba Dental Care PastSince Dec 12, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1457413726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 S BELL SCHOOL RD",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169362",
            "telephone_number": "815-229-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 S BELL SCHOOL RD",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169362",
            "telephone_number": "815-229-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENING",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019016398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Valley, IL

Sources for this page

Verify at the official NPI Registry.