Individual provider Active NPI

Gary R Schween, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Medina, OH
National Provider Identifier
1659449882
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30-018427 Issued in OH
Practice address
5002 Foote Rd
Medina, OH 44256-5396
Phone
(330) 725-8449
Fax
(330) 722-1805
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30-018427 OH Primary

Addresses

Primary practice location

5002 Foote Rd
Medina, OH 44256-5396

Mailing address

5002 Foote Rd
Medina, OH 44256-5396
Phone (330) 725-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20241016002222 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799730735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-018427OHMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1659449882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 FOOTE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565396",
            "telephone_number": "330-725-8449",
            "fax_number": "330-722-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 FOOTE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565396",
            "telephone_number": "330-725-8449",
            "fax_number": "330-722-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEEN",
        "first_name": "GARY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30-018427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.