Gary Francis Schoonover, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5524 Issued in OR

Practice address

4320 Cherry Ave NE
Keizer, OR 97303-4855

Phone

(503) 390-2421

Fax

(503) 390-5931

NPI assigned

Jul 26, 2005

Reactivated

Aug 31, 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

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902806532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 GWINN WAY SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973019498",
            "telephone_number": "503-316-1817",
            "fax_number": "503-390-5931"
        },
        {
            "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": {
        "last_name": "SCHOONOVER",
        "first_name": "GARY",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "5524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salem Doulas LLC
• Salem Health
• Cyarra Micheal Saunders
• Kimberley R Savage, PH.D.
• Heidi C Schaap
• Carol Renee Schramek, OT/L
• Deborah Ann Schuetze
• Science & Sensory LLC
• Christopher Scott, LCSW
• Jeanine Ann Scott, CRNFA

• General Practice Dentistry in Keizer, OR
• Providers in Keizer, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.