Active NPI
Dr. Michael W. Schulte
Doing business as Stafford Smiles Cosmetic Center
- Dental Clinic/Center
- Stafford, VA
National Provider Identifier
1467882654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 040413627
- Legal business name
- DR. MICHAEL W. SCHULTE
- Doing business as
- Stafford Smiles Cosmetic Center
- Practice address
- 623 Garrisonville Rd
Stafford, VA 22554-3710 - Phone
- (540) 659-6650
- Fax
- (540) 657-0576
- NPI assigned
- Nov 25, 2013
- Last updated
- Nov 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael William Schulte, D.D.S.
- Title
- Dentisit /Owner
- Phone
- (540) 659-6650
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 0401005624 | VA | |
| Dental Clinic/Center | 261QD0000X | 040413627 | VA | Primary |
Addresses
Primary practice location
623 Garrisonville Rd
Stafford, VA 22554-3710
Mailing address
PO Box 279
623 Garrisonville Road
Stafford, VA 22555-0279
Phone (540) 659-6650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982611182 | Medicaid | VA | |
| 1306193461 | Medicaid | VA |
Other names 1
- Stafford Smiles Cosmetic Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Stafford, VA
- NPI 1306193461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385337600000",
"number": "1467882654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 279",
"address_2": "623 GARRISONVILLE ROAD",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225550279",
"telephone_number": "540-659-6650",
"fax_number": "540-657-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 GARRISONVILLE RD",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225543710",
"telephone_number": "540-659-6650",
"fax_number": "540-657-0576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MICHAEL W. SCHULTE",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-25",
"last_updated": "2013-11-25",
"status": "A",
"authorized_official_last_name": "SCHULTE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "DENTISIT /OWNER",
"authorized_official_telephone_number": "540-659-6650",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "VA",
"license": "0401005624",
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "VA",
"license": "040413627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982611182",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306193461",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stafford Smiles Cosmetic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.