Terry J Schmitt DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08111 Issued in IA

Legal business name

TERRY J SCHMITT DDS PC

Practice address

2100 Asbury Rd
Suite 3
Dubuque, IA 52001-3091

Phone

(563) 588-0114

Fax

(563) 588-8670

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terry J Schmitt, DDS PC

Title

Dr-Dentist

Phone

(563) 583-0114

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093870305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ASBURY RD",
            "address_2": "SUITE 3",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013091",
            "telephone_number": "563-588-0114",
            "fax_number": "563-588-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ASBURY RD",
            "address_2": "SUITE 3",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013091",
            "telephone_number": "563-588-0114",
            "fax_number": "563-588-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY J SCHMITT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR-DENTIST",
        "authorized_official_telephone_number": "563-583-0114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "14212",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3234542",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.