Joseph R Schmidbauer Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16115 Issued in OH

Practice address

2609 Starr Ave
Oregon, OH 43616-2117

Phone

(419) 693-0439

NPI assigned

Aug 31, 2006

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003927732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 STARR AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436162117",
            "telephone_number": "419-693-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 STARR AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436162117",
            "telephone_number": "419-693-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDBAUER",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418480",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hana Mehde Sayed, PHARMD
• Tyler Chase Schallhorn
• Marvin J Scheer, MD
• Gina C Scheff, COTA/L
• Jessica Lynn Schira, LMT
• Jessica Nicole Schober, PHARMD
• Judith A. Schuessler, CNP
• Bridget Schwirzinski, LPCC-S, LSW
• Logan James Scott, PA-C
• James Samuel Seaman, ED.D.

• General Practice Dentistry in Oregon, OH
• Providers in Oregon, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.