Individual provider Active NPI

Peter John Schmieding, D.M.D.

  • Dentist
  • Ennis, MT
National Provider Identifier
1407980527
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.DEN.LIC1964 Issued in MT
Practice address
5 Sunrise Loop # C
Ennis, MT 59729
Phone
(406) 682-3310
Fax
(406) 682-3386
NPI assigned
Mar 14, 2007
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.DEN.LIC1964 MT Primary
Dentist 122300000X 1964 MT MT

Addresses

Primary practice location

5 Sunrise Loop # C
Ennis, MT 59729

Mailing address

5 Sunrise Loop # C
Ennis, MT 59729
Phone (406) 682-3310

Other identifiers 1

IdentifierTypeStateIssuer
1407980527MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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

Enrollment IDStateProvider typePAC IDDetails
I20170725004105 MT Order and Referring Only - DentistPractitioner - Dentist 9638449598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1964 MTMTMDDentist
DEN.DEN.LIC1964MTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Schmieding Dental Group Dentist CurrentSince Sep 24, 2023 Accepting new patients

Locations

5 Sunrise Loop
Ste C
Ennis, MT 59729
Phone (406) 682-3310

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1407980527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUNRISE LOOP # C",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "59729",
            "telephone_number": "406-682-3310",
            "fax_number": "406-682-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUNRISE LOOP # C",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "59729",
            "telephone_number": "406-682-3310",
            "fax_number": "406-682-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIEDING",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN.DEN.LIC1964",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "1964 MT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407980527",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, MT

Sources for this page

Verify at the official NPI Registry.