Active NPI
Lawrence Henry Schoonover, DDS
- Dentist
- Clendenin, WV
National Provider Identifier
1912085549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2509
- Practice address
- 1 French Street
Clendenin, WV 25045 - Phone
- (304) 548-7227
- Fax
- (304) 548-7228
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2509 | WV | Primary |
Addresses
Primary practice location
1 French Street
Clendenin, WV 25045
Mailing address
PO Box 672
Clendenin, WV 25045-0672
Phone (304) 548-7227
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136444000 | Medicaid | WV | |
| 2509 | Other | WV | WV LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 10, 2015 through Dec 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912085549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 672",
"city": "CLENDENIN",
"state": "WV",
"postal_code": "250450672",
"telephone_number": "304-548-7227",
"fax_number": "304-548-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FRENCH STREET",
"city": "CLENDENIN",
"state": "WV",
"postal_code": "25045",
"telephone_number": "304-548-7227",
"fax_number": "304-548-7228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOONOVER",
"first_name": "LAWRENCE",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "2509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136444000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV LICENSE NUMBER",
"identifier": "2509",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clendenin, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.