1942429139 NPI number — DR. GARY EDWARD SCHUMACHER D.D.S.

Table of content: DR. GARY EDWARD SCHUMACHER D.D.S. (NPI 1942429139)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942429139 NPI number — DR. GARY EDWARD SCHUMACHER D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHUMACHER
Provider First Name:
GARY
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942429139
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
NIST PAFFENBARGER RESEARCH CTR
Provider Second Line Business Mailing Address:
100 BUREAU DRIVE STOP 8546
Provider Business Mailing Address City Name:
GAITHERSBURG
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20899-8546
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-975-6805
Provider Business Mailing Address Fax Number:
301-963-9143

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
NIST PAFFENBARGER RESEARCH CTR
Provider Second Line Business Practice Location Address:
100 BUREAU DRIVE STOP 8546
Provider Business Practice Location Address City Name:
GAITHERSBURG
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20899-8546
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-975-6805
Provider Business Practice Location Address Fax Number:
301-963-9143
Provider Enumeration Date:
04/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  12236 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 122300000X , with the licence number: 30.014471 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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