Individual provider Active NPI

Amy Elizabeth Schmitt-Kingston, DDS

  • Dentist
  • Springville, NY
National Provider Identifier
1659489201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047019 Issued in NY
Practice address
13832 White St
Springville, NY 14141
Phone
(716) 592-7733
Fax
(716) 592-8937
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047019 NY Primary

Addresses

Primary practice location

13832 White St
Springville, NY 14141

Mailing address

13832 White St
Springville, NY 14141
Phone (716) 592-7733

Other identifiers 1

IdentifierTypeStateIssuer
02461498MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318000595 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5092032730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047019NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659489201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13832 WHITE ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "14141",
            "telephone_number": "716-592-7733",
            "fax_number": "716-592-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13832 WHITE ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "14141",
            "telephone_number": "716-592-7733",
            "fax_number": "716-592-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITT-KINGSTON",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02461498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, NY

Sources for this page

Verify at the official NPI Registry.