Organization Active NPI

Devin P. Schoonmaker DDS P.C.

  • General Practice Dentistry
  • Clinton, OK
National Provider Identifier
1740425982
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5034 Issued in OK
Legal business name
DEVIN P. SCHOONMAKER DDS P.C.
Practice address
1400 W Gary Blvd
Clinton, OK 73601-3238
Phone
(580) 323-7733
Fax
(580) 323-7733
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. Devin P. Schoonmaker, DDSNPI 1316047616
Title
Dentist
Phone
(580) 323-7733

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 5034 OK Primary

Addresses

Primary practice location

1400 W Gary Blvd
Clinton, OK 73601-3238

Mailing address

1400 W Gary Blvd
Clinton, OK 73601-3238
Phone (580) 323-7733

Other identifiers 1

IdentifierTypeStateIssuer
1316047616OtherOKNPI NUMBER (TYPE 1)

National Provider Directory

National Provider Directory

Locations

1400 W Gary Blvd
Clinton, OK 73601
Phone (580) 323-7733

Practitioners & affiliated clinicians

Practitioners 1

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": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1740425982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W GARY BLVD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013238",
            "telephone_number": "580-323-7733",
            "fax_number": "580-323-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W GARY BLVD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013238",
            "telephone_number": "580-323-7733",
            "fax_number": "580-323-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVIN P. SCHOONMAKER DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "SCHOONMAKER",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "580-323-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER (TYPE 1)",
            "identifier": "1316047616",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.