Active NPI
Darrell E Schmidt, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Rhinelander, WI
National Provider Identifier
1669575122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1155G
- Practice address
- 550 E Timber Dr
Rhinelander, WI 54501 - Phone
- (715) 365-1777
- Fax
- (715) 365-1779
- NPI assigned
- Sep 7, 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1155G | WI | Primary |
Addresses
Primary practice location
550 E Timber Dr
Rhinelander, WI 54501
Mailing address
550 E Timber Dr
Rhinelander, WI 54501
Phone (715) 365-1777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621419 | Other | WI | SUTA PROVIDER NUMBER |
| 253544 | Other | WI | TAX ID NUMBER |
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 |
|---|---|---|---|
| 1155G | WI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669575122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E TIMBER DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "54501",
"telephone_number": "715-365-1777",
"fax_number": "715-365-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E TIMBER DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "54501",
"telephone_number": "715-365-1777",
"fax_number": "715-365-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "DARRELL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "1155G",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUTA PROVIDER NUMBER",
"identifier": "621419",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID NUMBER",
"identifier": "253544",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rhinelander, WI
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.