NPIMap

Organization Active NPI

Richard J. Schoengarth DDS SC

  • General Practice Dentistry
  • Appleton, WI
National Provider Identifier
1669556619
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001227-015 Issued in WI
Legal business name
RICHARD J. SCHOENGARTH DDS SC
Practice address
3521 Commerce CT
Appleton, WI 54911-8579
Phone
(920) 739-1771
Fax
(920) 734-0456
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Dr. Richard John Schoengarth, DDSNPI 1164855219
Title
President
Phone
(920) 739-1771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5001227-015 WI Primary

Addresses

Primary practice location

3521 Commerce CT
Appleton, WI 54911-8579

Mailing address

3521 Commerce CT
Appleton, WI 54911-8579
Phone (920) 739-1771

National Provider Directory

National Provider Directory

Locations

3521 Commerce Ct
Appleton, WI 54911
Phone (920) 734-7730

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1669556619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 COMMERCE CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118579",
            "telephone_number": "920-739-1771",
            "fax_number": "920-734-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 COMMERCE CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118579",
            "telephone_number": "920-739-1771",
            "fax_number": "920-734-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. SCHOENGARTH DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "SCHOENGARTH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-739-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001227-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.