Active NPI
Frederick J Schmidt, DDS
- Dentist
- White Cloud, MI
National Provider Identifier
1497780704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901008929
- Practice address
- 126 Benson
White Cloud, MI 49349 - Phone
- (231) 689-1608
- Fax
- (231) 689-6604
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901008929 | MI | Primary |
Addresses
Primary practice location
126 Benson
White Cloud, MI 49349
Mailing address
1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-4624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74349491S | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901008929 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497780704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 MICHIGAN AVE",
"city": "BALDWIN",
"state": "MI",
"postal_code": "49304",
"telephone_number": "231-745-4624",
"fax_number": "231-745-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 BENSON",
"city": "WHITE CLOUD",
"state": "MI",
"postal_code": "49349",
"telephone_number": "231-689-1608",
"fax_number": "231-689-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "FREDERICK",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901008929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74349491S",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Cloud, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.