Steven James Schmoldt, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5880-015 Issued in WI

Practice address

10 Forest Ave Ste 201
Fond Du Lac, WI 54935-4111

Phone

(920) 933-5332

Fax

(920) 933-5323

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1255328068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOREST AVE STE 201",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354111",
            "telephone_number": "920-933-5332",
            "fax_number": "920-933-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST AVE STE 201",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354111",
            "telephone_number": "920-933-5332",
            "fax_number": "920-933-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMOLDT",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5880-015",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "5880-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Joy Schmidt
• Paul Eugene Schmidt Jr., D.D.S.
• Theresa Schmidt
• Arianna Schmitz
• Rebecca A Schmitz, PTA
• Emily Schneider
• Joanne Schneider
• Julie A Schneider, APNP
• Katelynn M Schneider, APNP
• Michael Schneider

• Endodontics in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.