Individual provider Active NPI

Jennifer Alejandra Schmit, D.D.S.

  • Dentist
  • Saint Paul, MN
National Provider Identifier
1457646408
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13042 Issued in MN
Practice address
1790 7TH St E
Saint Paul, MN 55119-3419
Phone
(507) 388-2120
NPI assigned
Jun 16, 2011
Last updated
Dec 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13042 MN Primary

Addresses

Primary practice location

1790 7TH St E
Saint Paul, MN 55119-3419

Mailing address

1790 7TH St E
Saint Paul, MN 55119
Phone (651) 735-0595

Other names 1

  • Dr. Jennifer Alejandra Iburg Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160307000486 MN Order and Referring Only - DentistPractitioner - Dentist 6305142084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West 7TH Dental Dentist Current 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, 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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1457646408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55119",
            "telephone_number": "651-735-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551193419",
            "telephone_number": "507-388-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIT",
        "first_name": "JENNIFER",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "IBURG",
            "middle_name": "ALEJANDRA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.