Active NPI
Robert Logan Schmidt, DMD
- Dentist
- Statesville, NC
National Provider Identifier
1104178169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9379
- Practice address
- 1706 Davie Ave
Suite B
Statesville, NC 28677-3589 - Phone
- (704) 873-1968
- Fax
- (704) 872-5841
- NPI assigned
- Oct 15, 2012
- 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 | 9379 | NC | Primary |
Addresses
Primary practice location
1706 Davie Ave
Suite B
Statesville, NC 28677-3589
Mailing address
10301 Club Trophy LN
Mint Hill, NC 28227-6884
Phone (704) 607-0348
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 |
|---|---|---|---|
| 9379 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Robert Schmidt PLLC | Current | Accepting new patients | |
| Robert L Schmidt DMD II PLLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Concord, NC
- NPI 1720727258
-
- General Practice Dentistry
- Kannapolis, NC
- NPI 1366146151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1104178169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 CLUB TROPHY LN",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282276884",
"telephone_number": "704-607-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 DAVIE AVE",
"address_2": "SUITE B",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286773589",
"telephone_number": "704-873-1968",
"fax_number": "704-872-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "ROBERT",
"middle_name": "LOGAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-15",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.