Individual provider Active NPI

Jeane L. Schoemaker, D.D.S.

  • General Practice Dentistry
  • Fort Morgan, CO
National Provider Identifier
1922006089
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6557 Issued in CO
Practice address
105 W 9TH Ave
Fort Morgan, CO 80701-2011
Phone
(970) 867-7245
Fax
(970) 867-5818
NPI assigned
Jul 12, 2005
Reactivated
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6557 CO Primary

Addresses

Primary practice location

105 W 9TH Ave
Fort Morgan, CO 80701-2011

Mailing address

105 W 9TH Ave
Fort Morgan, CO 80701-2011
Phone (970) 867-7245

Other identifiers 1

IdentifierTypeStateIssuer
02065571MedicaidCO

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
6557COMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922006089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 9TH AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012011",
            "telephone_number": "970-867-7245",
            "fax_number": "970-867-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 9TH AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807012011",
            "telephone_number": "970-867-7245",
            "fax_number": "970-867-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEMAKER",
        "first_name": "JEANE",
        "middle_name": "L.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02065571",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.