Active NPI
Nathaniel Thomas Schoen, DDS
- General Practice Dentistry
- Wabasha, MN
National Provider Identifier
1629694641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D14381
- Practice address
- 257 Main St W
Wabasha, MN 55981-1913 - Phone
- (651) 565-4647
- Fax
- (651) 565-2899
- NPI assigned
- Jun 25, 2020
- 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 | D14381 | MN | Primary |
Addresses
Primary practice location
257 Main St W
Wabasha, MN 55981-1913
Mailing address
PO Box 128
Wabasha, MN 55981-0128
Phone (651) 565-4647
Organizations & group practices 2
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.
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- Surgery Physician
- Orange, CA
- NPI 1407806904
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14381 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T.J. Schoen Family Dentistry | General Practice | Past | Accepting new patients |
| University Surgeons of Orange a Medical Group | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1629694641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 128",
"city": "WABASHA",
"state": "MN",
"postal_code": "559810128",
"telephone_number": "651-565-4647",
"fax_number": "651-565-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 MAIN ST W",
"city": "WABASHA",
"state": "MN",
"postal_code": "559811913",
"telephone_number": "651-565-4647",
"fax_number": "651-565-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOEN",
"first_name": "NATHANIEL",
"middle_name": "THOMAS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-25",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D14381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wabasha, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.