Individual provider Active NPI

Richard Peter Schoenbaum, D.D.S.

  • General Practice Dentistry
  • Culver City, CA
National Provider Identifier
1528057601
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22706 Issued in CA
Practice address
4383 Overland Ave
Culver City, CA 90230-4129
Phone
(310) 837-2417
Fax
(310) 838-5360
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 22706 CA Primary

Addresses

Primary practice location

4383 Overland Ave
Culver City, CA 90230-4129

Mailing address

4383 Overland Ave
Culver City, CA 90230-4129
Phone (310) 837-2417

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

LicenseStateTypeSpecialty
22706CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528057601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304129",
            "telephone_number": "310-837-2417",
            "fax_number": "310-838-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304129",
            "telephone_number": "310-837-2417",
            "fax_number": "310-838-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBAUM",
        "first_name": "RICHARD",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.