W Scott Schmidly, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015180 Issued in MO

Practice address

3550 S Campbell Ave
Springfield, MO 65807-5183

Phone

(417) 887-4021

Fax

(417) 887-4010

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 3B DDS LLC

  dba South City Dental

  • General Practice Dentistry
  • Springfield, MO
  • NPI 1528818283
  NPD (past)
• Giants SC Dental

  dba South City Dental

  • General Practice Dentistry
  • Springfield, MO
  • NPI 1245057504
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336235175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075183",
            "telephone_number": "417-887-4021",
            "fax_number": "417-887-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075183",
            "telephone_number": "417-887-4021",
            "fax_number": "417-887-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDLY",
        "first_name": "W",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "015180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie Schimpf, MS, LPC
• David Schippert, M.D.
• Lynn Marie Schirk
• Roger Bruce Schlemmer, M.D.
• David L. Schlink, PH.D.
• Allison Schmidt
• Brianna Yvette Schmidt, PHARMD
• Jennifer Marie Schmidt, LMSW
• Jeremy Schmidt
• Mariah Shiloh Schmidt, NP

• General Practice Dentistry in Springfield, MO
• Providers in Springfield, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.