Active NPI
Craig D Schmidtke, D.D.S
- Oral and Maxillofacial Radiology Dentistry
- Dothan, AL
National Provider Identifier
1467550400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 5391C
- Practice address
- 100 Metro Dr
Dothan, AL 36303-1985 - Phone
- (334) 699-5555
- Fax
- (334) 699-5558
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 5391C | AL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 5391C | AL | |
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 5391C | AL | Primary |
Addresses
Primary practice location
100 Metro Dr
Dothan, AL 36303-1985
Mailing address
100 Metro Dr
Dothan, AL 36303-1985
Phone (334) 699-5555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51529237 | Other | AL | BCBS OF AL PROVIDER #I |
| 5391C | Other | AL | ALABAMA LICENSE # |
| 755031 | Other | AL | UNITED CONCORDIA PROVI # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140729001414 | AL | Order and Referring Only - Oral Surgery | 6709853021 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5391C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Oral & Maxillofacial | Oral and Maxillofacial Pathology | Past | Accepting new patients |
| Vail Valley Oral and Maxillofacial Surgery, Professional L.L.C. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Al Dothan Dental Professionals PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Dothan, AL
- NPI 1023289998
Oral and Maxillofacial Pathology
-
- Oral and Maxillofacial Surgery (Dentist)
- Dothan, AL
- NPI 1316580046
-
- Oral and Maxillofacial Surgery (Dentist)
- Edwards, CO
- NPI 1548305725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1467550400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 METRO DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031985",
"telephone_number": "334-699-5555",
"fax_number": "334-699-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 METRO DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363031985",
"telephone_number": "334-699-5555",
"fax_number": "334-699-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDTKE",
"first_name": "CRAIG",
"middle_name": "D",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "AL",
"license": "5391C",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "AL",
"license": "5391C",
"primary": false
},
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "AL",
"license": "5391C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL PROVIDER #I",
"identifier": "51529237",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA LICENSE #",
"identifier": "5391C",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVI #",
"identifier": "755031",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.