Active NPI
Christopher E. Schomaker, DMD
- General Practice Dentistry
- Mesa, AZ
National Provider Identifier
1508904707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25975
- Practice address
- 1161 E Main St
Mesa, AZ 85203-8823 - Phone
- (480) 834-1555
- Fax
- (480) 962-6710
- NPI assigned
- Feb 1, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25975 | TX | Primary |
Addresses
Primary practice location
1161 E Main St
Mesa, AZ 85203-8823
Mailing address
4772 E Lark St
Gilbert, AZ 85297-9738
Phone (480) 279-2970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D6219 | Medicaid | AZ |
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 |
|---|---|---|---|
| 25975 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental of Arizona, Inc. | General Practice | Past | Accepting new patients |
| Texas Kids Dental Care Horizon | Dentist | Past | Accepting new patients |
| Western Dental Services, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Mesa, AZ
- NPI 1013053057
-
- General Practice Dentistry
- Mesa, AZ
- NPI 1649306093
-
- Dentist
- El Paso, TX
- NPI 1376888305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1508904707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4772 E LARK ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852979738",
"telephone_number": "480-279-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 E MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852038823",
"telephone_number": "480-834-1555",
"fax_number": "480-962-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOMAKER",
"first_name": "CHRISTOPHER",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D6219",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.