NPIMap

Organization Active NPI

Charles W. Schmidt DDS PA

  • Dentist
  • Palm Harbor, FL
National Provider Identifier
1053525402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN8986 Issued in FL
Legal business name
CHARLES W. SCHMIDT DDS PA
Practice address
4852 Ridgemoor Blvd
Palm Harbor, FL 34685-1742
Phone
(727) 787-6453
Fax
(727) 771-7452
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles W. Schmidt, DDS
Title
President
Phone
(941) 365-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN8986 FL Primary

Addresses

Primary practice location

4852 Ridgemoor Blvd
Palm Harbor, FL 34685-1742

Mailing address

4852 Ridgemoor Blvd
Palm Harbor, FL 34685-1742
Phone (727) 787-6453

Other names 1

  • East Lake Center for Cosmetic Dentistry Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Charles W Schmidt DDS PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053525402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4852 RIDGEMOOR BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851742",
            "telephone_number": "727-787-6453",
            "fax_number": "727-771-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 RIDGEMOOR BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851742",
            "telephone_number": "727-787-6453",
            "fax_number": "727-771-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W. SCHMIDT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-365-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN8986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Lake Center for Cosmetic Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.