Ethan J Schuman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14389 Issued in MO

Practice address

658 N New Ballas Rd
Saint Louis, MO 63141-6737

Phone

(314) 432-2580

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comfort Dental LLC

  • General Practice Dentistry
  • Creve Coeur, MO
  • NPI 1811867435
  NPD (past)
• Dentsure, LLC

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1295329860
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1730154451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416737",
            "telephone_number": "314-432-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416737",
            "telephone_number": "314-432-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMAN",
        "first_name": "ETHAN",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "14389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Lynn Schumacher, MD
• Shannon Lynn Schumacher, SLP
• Sydney Rose Schumacher, RD
• Matthew Schumaker, PHARMD
• Peter D Schumaker, M.A., LPC
• Sarah Schuman, OT
• Berkley Schuppan, D.C.
• Natalie Bridgetta Schur, OTR/L
• Mary Kathleen Schurk, WHNP-BC
• Emily Schurman

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.