Individual provider Active NPI

Patricia A, Schonberger, R.D.H.

  • Dental Hygienist
  • Brush, CO
National Provider Identifier
1710041561
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
201749 Issued in CO
Practice address
300 Stanford St
Brush, CO 80723-1624
Phone
(970) 842-3713
Fax
(970) 842-0691
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 201749 CO Primary

Addresses

Primary practice location

300 Stanford St
Brush, CO 80723-1624

Mailing address

300 Stanford St
Brush, CO 80723-1624
Phone (970) 842-3713

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

State licenses

LicenseStateTypeSpecialty
201749COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710041561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STANFORD ST",
            "city": "BRUSH",
            "state": "CO",
            "postal_code": "807231624",
            "telephone_number": "970-842-3713",
            "fax_number": "970-842-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STANFORD ST",
            "city": "BRUSH",
            "state": "CO",
            "postal_code": "807231624",
            "telephone_number": "970-842-3713",
            "fax_number": "970-842-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHONBERGER",
        "first_name": "PATRICIA",
        "middle_name": "A,",
        "name_prefix": "Mr.",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "201749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brush, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.