Individual provider Active NPI

Joanne S Schmidt, D.D.S.

  • Dentist
  • Riegelsville, PA
National Provider Identifier
1467475004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS019848L Issued in PA
Practice address
1235 Eaton Rd.
Riegelsville, PA 18077-0004
Phone
(610) 749-2717
Fax
(610) 749-0782
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS019848L PA Primary

Addresses

Primary practice location

1235 Eaton Rd.
Riegelsville, PA 18077-0004

Mailing address

PO Box 4
Riegelsville, PA 18077-0004
Phone (610) 749-2717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150527000481 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8527388909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467475004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "RIEGELSVILLE",
            "state": "PA",
            "postal_code": "180770004",
            "telephone_number": "610-749-2717",
            "fax_number": "610-749-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 EATON RD.",
            "city": "RIEGELSVILLE",
            "state": "PA",
            "postal_code": "180770004",
            "telephone_number": "610-749-2717",
            "fax_number": "610-749-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JOANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS019848L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riegelsville, PA

Sources for this page

Verify at the official NPI Registry.