Individual provider Active NPI

Charles Mellen Schumacher, D.D.S.

  • General Practice Dentistry
  • Farmington, NM
National Provider Identifier
1649281734
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1586 Issued in NM
Practice address
2525 E 30TH St
Farmington, NM 87401-4503
Phone
(505) 327-4863
Fax
(505) 327-5394
NPI assigned
Aug 11, 2006
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 1586 NM Primary

Addresses

Primary practice location

2525 E 30TH St
Farmington, NM 87401-4503

Mailing address

2525 E 30TH St
Farmington, NM 87401-4503
Phone (505) 327-4863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1586NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Hills Dental Group General Practice PastSince Mar 19, 2017 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1649281734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E 30TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014503",
            "telephone_number": "505-327-4863",
            "fax_number": "505-327-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E 30TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014503",
            "telephone_number": "505-327-4863",
            "fax_number": "505-327-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "CHARLES",
        "middle_name": "MELLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.