Individual provider Active NPI

Todd Schini, D.M.D.

  • General Practice Dentistry
  • Coeur D Alene, ID
National Provider Identifier
1467403642
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3172 Issued in ID
Practice address
2000 Northwest Blvd
Ste 100
Coeur D Alene, ID 83814-2396
Phone
(208) 664-3321
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D3172 ID Primary

Addresses

Primary practice location

2000 Northwest Blvd
Ste 100
Coeur D Alene, ID 83814-2396

Mailing address

2000 Northwest Blvd
Ste 100
Coeur D Alene, ID 83814-2612
Phone (208) 664-3321

Other identifiers 1

IdentifierTypeStateIssuer
002779900MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20150427000627 ID Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709105687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D3172IDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1467403642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NORTHWEST BLVD",
            "address_2": "STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142612",
            "telephone_number": "208-664-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NORTHWEST BLVD",
            "address_2": "STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142396",
            "telephone_number": "208-664-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHINI",
        "first_name": "TODD",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002779900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.