Derek Thomas Schmidt, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

1000978-15 Issued in WI

Practice address

401 Pilot CT Ste D
Waukesha, WI 53188-2481

Phone

(262) 548-9600

NPI assigned

Aug 4, 2014

Sex

Male

Sole proprietor

No

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)

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 and National Provider Directory roles.

• Schmidt Dental Holdings LLC

  • Dental Clinic/Center
  • Greenfield, WI
  • NPI 1982263893
  NPD Authorized official

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1356750426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W MORELAND BLVD",
            "address_2": "SUITE 1",
            "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": "401 PILOT CT STE D",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882481",
            "telephone_number": "262-548-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "DEREK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1000978-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Schmeichel, MSW
• Elizabeth Eileen Schmid, APNP, FNP-C
• Amanda Schmidt
• Ann M. Schmidt, MS, CGC
• Christine Schmidt, RN
• Elizabeth Elaine Schmidt, LCSW
• Jody Robert Schmidt, MSW
• Joseph Mark Schmidt, D.D.S.
• Kathleen A Schmidt, M.D.
• Laura J Schmidt, APNP

• 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 Feb 3, 2024; 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.