Gerald Charles Schmitz, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13968 Issued in MO

Practice address

1500 Prehistoric Hill Dr
Imperial, MO 63052-8026

Phone

(636) 464-2002

Fax

(636) 464-2003

NPI assigned

Jan 3, 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

Medicare fee-for-service enrollment

Enrolled in MO

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

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.

• Gerald C Schmitz DMD

  • Dentist
  • Imperial, MO
  • NPI 1346378551
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043377310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1026",
            "address_2": "1500 PREHISTORIC HILL DR.",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630528026",
            "telephone_number": "636-464-2002",
            "fax_number": "636-464-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PREHISTORIC HILL DR",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630528026",
            "telephone_number": "636-464-2002",
            "fax_number": "636-464-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "GERALD",
        "middle_name": "CHARLES",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy M. Riordan, M.D.
• Riversedge Psychological Services
• Celso Ferreira Rodrigues, M.D.
• Emily Rodriguez
• Schmitz Chiropractic, LLC
• Kyle G Schmitz, D.C.
• Mark Ryan Schmitz, D.C.
• Amanda Schwarztrauber, RN
• Sierra Elizabeth Seidel
• Sincere Solace Counseling LLC

• All providers in Imperial, MO
• General Practice Dentistry in Missouri

• 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.