Individual provider Active NPI

Andreas Christopher Schmalz, DDS

  • General Practice Dentistry
  • Derby, KS
National Provider Identifier
1477237170
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62122 Issued in KS
Practice address
1120 N Rock Rd
Derby, KS 67037-3584
Phone
(316) 789-9999
NPI assigned
Jun 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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 62122 KS Primary

Addresses

Primary practice location

1120 N Rock Rd
Derby, KS 67037-3584

Mailing address

1748 E Southridge Cir
Derby, KS 67037-3925
Phone (970) 209-6701

Other practice location 1

1445 N Ridge Rd
Wichita, KS 67212-2985
Phone (316) 773-1445

Other practice location 2

9339 E 21st St N Ste 200
Wichita, KS 67206-2973
Phone (316) 333-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62122KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brent E. Nelsen DMD, LLC PastSince Apr 14, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1477237170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 E SOUTHRIDGE CIR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373925",
            "telephone_number": "970-209-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N ROCK RD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373584",
            "telephone_number": "316-789-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 N Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672122985",
            "country_code": "US",
            "telephone_number": "316-773-1445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9339 E 21st St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672062973",
            "country_code": "US",
            "telephone_number": "316-333-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMALZ",
        "first_name": "ANDREAS",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "62122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.