Organization Active NPI

Dr. Michael W. Schulte

Doing business as Stafford Smiles Cosmetic Center

  • Dental Clinic/Center
  • Stafford, VA
National Provider Identifier
1467882654
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
040413627 Issued in VA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1982611182MedicaidVA
1306193461MedicaidVA

Other names 1

  • Stafford Smiles Cosmetic Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.