Active NPI
Robert Connor Schmenk, DDS
- Dental Anesthesiology
- Medina, OH
National Provider Identifier
1043832975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 30.026124
- Practice address
- 3613 Reserve Commons Dr
Medina, OH 44256-8179 - Phone
- (419) 615-7347
- NPI assigned
- May 14, 2020
- Last updated
- May 11, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.026124 | OH | |
| Dental Anesthesiology | 1223D0004X | 30.026124 | OH | Primary |
Addresses
Primary practice location
3613 Reserve Commons Dr
Medina, OH 44256-8179
Mailing address
273 Coates CT
North Lewisburg, OH 43060-9010
Phone (419) 615-7347
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 |
|---|---|---|---|
| 30.026124 | OH | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1043832975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 COATES CT",
"city": "NORTH LEWISBURG",
"state": "OH",
"postal_code": "430609010",
"telephone_number": "419-615-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3613 RESERVE COMMONS DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568179",
"telephone_number": "419-615-7347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMENK",
"first_name": "ROBERT",
"middle_name": "CONNOR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-14",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.026124",
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "OH",
"license": "30.026124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.