Individual provider Active NPI

Nathan Schmidt, DDS

  • General Practice Dentistry
  • Goodland, KS
National Provider Identifier
1013320902
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60981 Issued in KS
Practice address
504 Main Ave
Goodland, KS 67735-1842
Phone
(785) 899-6222
Fax
(785) 890-3650
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 60981 KS Primary

Addresses

Primary practice location

504 Main Ave
Goodland, KS 67735-1842

Mailing address

PO Box 177
Atwood, KS 67730-0177
Phone (785) 626-8290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20160226001669 KS Order and Referring Only - DentistPractitioner - Dentist 2264737329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rawlins County Dental Clinic Fund CurrentSince Jul 24, 2022 Accepting new patients
Terry L Imel, D.D.S. General Practice Past Accepting new patients
Goodland Dental Arts, P.a. PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013320902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "ATWOOD",
            "state": "KS",
            "postal_code": "677300177",
            "telephone_number": "785-626-8290",
            "fax_number": "785-626-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MAIN AVE",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351842",
            "telephone_number": "785-899-6222",
            "fax_number": "785-890-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "NATHAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodland, KS

Sources for this page

Verify at the official NPI Registry.