Active NPI
Thomas Concannon Schmidt, DDS
- Dentist
- Nantucket, MA
National Provider Identifier
1043429558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16408
- Practice address
- 3 W Creek Rd
Nantucket, MA 02554-4031 - Phone
- (508) 825-2289
- Fax
- (508) 825-9831
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16408 | MA | Primary |
Addresses
Primary practice location
3 W Creek Rd
Nantucket, MA 02554-4031
Mailing address
18 The Channel Way
Brewster, MA 02631-1217
Phone (508) 896-5083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16408 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043429558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 THE CHANNEL WAY",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026311217",
"telephone_number": "508-896-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 W CREEK RD",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025544031",
"telephone_number": "508-825-2289",
"fax_number": "508-825-9831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "THOMAS",
"middle_name": "CONCANNON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "16408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nantucket, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.