Spring City Family Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

1000978-15 Issued in WI

Legal business name

SPRING CITY FAMILY DENTAL, LLC

Practice address

707 W Moreland Blvd
Waukesha, WI 53188-2400

Phone

(262) 548-9600

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Derek T. Schmidt, DDS

Title

Owner

Phone

(262) 548-9600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1154700706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882400",
            "telephone_number": "262-548-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882400",
            "telephone_number": "262-548-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CITY FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-548-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "1000978-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty A Spittlemeister, LCSW
• Alyssa Spitzer, BSN, RN
• Steven Splittgerber
• Cristie Spoerl, BS PSYCHOLOGY
• Christine A Sponagle, MD
• Spring City Health Centre
• Emily Springer
• Barbara Ann Spychalla, APNP
• Steven Michael Staab, LAT, PES-NASM
• Peter Michael Stachnik

• Dentist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.