Active NPI
Mark Joseph Schmitz, DDS
- General Practice Dentistry
- Terre Haute, IN
National Provider Identifier
1649898370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12013428A
- Practice address
- 1024 Lafayette Ave
Terre Haute, IN 47804-2932 - Phone
- (812) 645-2248
- NPI assigned
- Jul 9, 2020
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12013428A | IN | Primary |
Addresses
Primary practice location
1024 Lafayette Ave
Terre Haute, IN 47804-2932
Mailing address
1024 Lafayette Ave
Terre Haute, IN 47804-2932
Phone (812) 239-2957
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 |
|---|---|---|---|
| 12013428A | IN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1649898370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 LAFAYETTE AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478042932",
"telephone_number": "812-239-2957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 LAFAYETTE AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478042932",
"telephone_number": "812-645-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITZ",
"first_name": "MARK",
"middle_name": "JOSEPH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-09",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12013428A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.