Individual provider Active NPI

Nathan Schoenly, D.D.S.

  • Endodontics
  • Falls Church, VA
National Provider Identifier
1801200035
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401414336 Issued in VA
Practice address
7115 Leesburg Pike
Suite 309
Falls Church, VA 22043-2367
Phone
(703) 534-0330
NPI assigned
Jun 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0401414336 VA Primary

Addresses

Primary practice location

7115 Leesburg Pike
Suite 309
Falls Church, VA 22043-2367

Mailing address

139 Springville Ave
Amherst, NY 14226-3117
Phone (781) 789-4010

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
0401414336VAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1801200035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SPRINGVILLE AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263117",
            "telephone_number": "781-789-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 LEESBURG PIKE",
            "address_2": "SUITE 309",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432367",
            "telephone_number": "703-534-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENLY",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401414336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.