Organization Active NPI

Schommer Dental PC

  • Durable Medical Equipment & Medical Supplies
  • Davenport, IA
National Provider Identifier
1689334864
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SCHOMMER DENTAL PC
Practice address
2010 E 38TH St Ste 105
Davenport, IA 52807-1179
Phone
(563) 355-5177
Fax
(563) 355-0884
NPI assigned
Dec 29, 2021
Organization subpart
Yes
Parent organization
SCHOMMER DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Dr. Clayton Schommer, DMDNPI 1679039002
Title
Dentist/Owner
Phone
(563) 355-5177

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2010 E 38TH St Ste 105
Davenport, IA 52807-1179

Mailing address

2010 E 38TH St Ste 105
Davenport, IA 52807-1179
Phone (563) 355-5177

Other names 1

  • Schommer Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL schommerdental.com Direct

National Provider Directory

National Provider Directory
Part of
Schommer Dental PC

Locations

2010 E 38th St
Ste 105
Davenport, IA 52807
Phone (563) 355-5177

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": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1689334864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E 38TH ST STE 105",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071179",
            "telephone_number": "563-355-5177",
            "fax_number": "563-355-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 38TH ST STE 105",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071179",
            "telephone_number": "563-355-5177",
            "fax_number": "563-355-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOMMER DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHOMMER DENTAL PC",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "SCHOMMER",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "563-355-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "schommerdental.com",
            "affiliation": "N",
            "endpointDescription": "webpage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2010 E 38th St Ste 105",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528071179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Schommer Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.