Individual provider Active NPI

Jeanette Dawn Schmer

  • Dental Hygienist
  • Allen Park, MI
National Provider Identifier
1902271836
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
3641887 Issued in MI
Practice address
8069 Winona Ave
Allen Park, MI 48101-2227
Phone
(313) 720-2625
NPI assigned
Dec 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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 3641887 MI Primary

Addresses

Primary practice location

8069 Winona Ave
Allen Park, MI 48101-2227

Mailing address

8069 Winona Ave
Allen Park, MI 48101-2227
Phone (313) 720-2625

Other names 1

  • Jeanette Dawn Shamus Former name

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
3641887MIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1902271836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8069 WINONA AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012227",
            "telephone_number": "313-720-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8069 WINONA AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012227",
            "telephone_number": "313-720-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMER",
        "first_name": "JEANETTE",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "3641887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "SHAMUS",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.