Healthcare Provider Details

I. General information

NPI: 1215860226
Provider Name (Legal Business Name): ADAM JOHN SCHNEEMANN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4585 LEDGE ROCK DR
JOHNSTOWN CO
80534-8007
US

IV. Provider business mailing address

1400 CIMARRON DR APT C
LAFAYETTE CO
80026-3819
US

V. Phone/Fax

Practice location:
  • Phone: 970-660-4000
  • Fax:
Mailing address:
  • Phone: 646-354-9605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00206712
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: