Ryan Schoenenberger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6967 Issued in WI

Practice address

N84W15959 Appleton Ave
Menomonee Falls, WI 53051-3044

Phone

(262) 251-6555

NPI assigned

Aug 16, 2012

Last updated

Aug 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Brian a. Stark, D.D.S., S.C.

  dba Avenue Dental Group

  • Dental Clinic/Center
  • Menomonee Falls, WI
  • NPI 1609930627
  NPD (past)
• Eyad Bittar DDS LLC

  dba Avenue Dental Group

  • Dentist
  • Menomonee Falls, WI
  • NPI 1497343362
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1558619916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15959 APPLETON AVENUE",
            "address_2": "N84N",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "53051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N84W15959 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513044",
            "telephone_number": "262-251-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENENBERGER",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Joseph Schmidt, D.D.S.
• Courtney L Schmitz, APNP
• Gerard P. Schmitz, M.D.
• Joseph P Schneider, MD
• Michael B Schoenborn, RPH
• Rebecca Schommer, DPT
• Gregory D Schramka, PSYD
• Joan Schroeder, RD, CDE
• Joseph Schueller, PHARMD
• Elizabeth Schuetz, PT, DPT

• General Practice Dentistry in Menomonee Falls, WI
• Providers in Menomonee Falls, 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 Aug 16, 2012; 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.