Organization Active NPI

Gary Francis Schoonover

  • General Practice Dentistry
  • Keizer, OR
National Provider Identifier
1730353228
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GARY FRANCIS SCHOONOVER
Practice address
4320 Cherry Ave NE
Keizer, OR 97303-4855
Phone
(503) 390-2421
Fax
(503) 390-5931
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Nolita Schoonover
Title
Office Coordinator
Phone
(503) 390-2421

Specialties & licenses 1

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

Addresses

Primary practice location

4320 Cherry Ave NE
Keizer, OR 97303-4855

Mailing address

4320 Cherry Ave. NE
Keizer, OR 97303-4855

National Provider Directory

National Provider Directory

Locations

4320 Cherry Ave NE
Keizer, OR 97303
Phone (503) 390-2421

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1730353228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 CHERRY AVE. NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 CHERRY AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034855",
            "telephone_number": "503-390-2421",
            "fax_number": "503-390-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY FRANCIS SCHOONOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "SCHOONOVER",
        "authorized_official_first_name": "NOLITA",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "503-390-2421"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.