Gary R. Schopfer, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

031607 Issued in NY

Practice address

209 2ND St
Liverpool, NY 13088-5146

Phone

(315) 451-9563

Fax

(315) 451-2076

NPI assigned

Feb 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578603445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 2ND ST",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885146",
            "telephone_number": "315-451-9563",
            "fax_number": "315-451-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 2ND ST",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885146",
            "telephone_number": "315-451-9563",
            "fax_number": "315-451-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOPFER",
        "first_name": "GARY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "031607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Scheminger, DPT
• Michael Todd Schiano, MD
• Amy Schiminske, LMHC
• Stacia Schioppa, LCSW
• Kathryn Schlegel, MD
• Lindsey Kate Schuck, APRN
• Kimberley Schultz
• Dina Nancy Schwartz, LMSW
• David Sciera, P.T.
• Catherine Scimone, R.N.

• Oral and Maxillofacial Surgery (Dentist) in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.