Todd Matthew Schommer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

07468 Issued in IA

Practice address

2010 E 38TH St
Suite 105
Davenport, IA 52807-1155

Phone

(563) 355-5177

Fax

(563) 355-0884

NPI assigned

Jan 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schommer Dental PC

  • Durable Medical Equipment & Medical Supplies
  • Davenport, IA
  • NPI 1689334864
  NPD (past)

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942356159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E 38TH ST",
            "address_2": "SUITE 105",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071155",
            "telephone_number": "563-355-5177",
            "fax_number": "563-355-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 38TH ST",
            "address_2": "SUITE 105",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071155",
            "telephone_number": "563-355-5177",
            "fax_number": "563-355-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOMMER",
        "first_name": "TODD",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097576",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Schneider, RN
• Lindsey Marie Mack Schneider, LISW
• Patrik Ryan Schneider, D.C.
• Schommer Dental PC
• Clayton Schommer, DMD
• Chelsea D Schorg, PHARMD
• Laura Ann Schroeder, AU.D.
• Michele Schroeder, LMHC
• Rebecca Schroeder
• Casey Schug, PHARM D

• General Practice Dentistry in Davenport, IA
• Providers in Davenport, IA by specialty
• General Practice Dentistry in Iowa

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.