Individual provider Active NPI

Robert Logan Schmidt, DMD

  • Dentist
  • Statesville, NC
National Provider Identifier
1104178169
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9379 Issued in NC
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

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
9379NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.