Peter John Schumacher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5000829G Issued in WI

Practice address

2121 S Webster Ave
Suite 2
Green Bay, WI 54301-2290

Phone

(920) 437-5771

Fax

(920) 437-7202

NPI assigned

Sep 14, 2006

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

Other names 1

• Dr. Peter John Schumacher Professional name

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528163474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S WEBSTER AVE",
            "address_2": "SUITE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012290",
            "telephone_number": "920-437-5771",
            "fax_number": "920-437-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S WEBSTER AVE",
            "address_2": "SUITE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012290",
            "telephone_number": "920-437-5771",
            "fax_number": "920-437-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5000829G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "SCHUMACHER",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Megan L Schultz, LPC-IT
• Jolene Beth-Savoie Schulz, NP
• Jordan A Schulz, APNP
• Courtney L Schumacher, RN
• Michael K Schumacher, D-PT
• Sharon M Schumacher, MS CCC-SLP
• Clare Schumaker
• Michelle R Schumann, AUD
• Nancy Jean Schumitsch, RD CD CDE
• Jill Schuster-Syed, DO

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.