Active NPI
Adam Eric Schmidt, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Williamsburg, VA
National Provider Identifier
1427305010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 401417041
- Practice address
- 1323 Jamestown Rd Ste 203
Williamsburg, VA 23185-3367 - Phone
- (757) 253-2393
- NPI assigned
- Aug 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 08958 | IA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 401417041 | VA | Primary |
Addresses
Primary practice location
1323 Jamestown Rd Ste 203
Williamsburg, VA 23185-3367
Mailing address
1323 Jamestown Rd Ste 203
Williamsburg, VA 23185-3367
Phone (757) 253-2393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 19, 2021 through Mar 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401417041 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott R Goodove DDS PLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Goodove Oral Surgery & Dental Implants
- Oral and Maxillofacial Surgery (Dentist)
- Virginia Beach, VA
- NPI 1043498231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1427305010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 JAMESTOWN RD STE 203",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853367",
"telephone_number": "757-253-2393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 JAMESTOWN RD STE 203",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853367",
"telephone_number": "757-253-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "ADAM",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-14",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IA",
"license": "08958",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "401417041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.