Schmidt Family Dentistry LLC

Key facts

NPI

1689403370

Entity type

Organization (NPI type 2)

Primary specialty

Dental Clinic/Center 261QD0000X

Legal business name

SCHMIDT FAMILY DENTISTRY LLC

Practice address

3901 In 47
Suite 24
Sheridan, IN 46069-9256

Phone

(317) 758-5334

NPI assigned

Jul 30, 2024

Organization subpart

No

Authorized official

Name

Dr. Bryan Schmidt, DDS NPI 1639793870

Title

Owner/Dentist

Phone

(765) 603-9510

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Schmidt, DDS Dentist · Sheridan, IN · NPI 1639793870
  NPD Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 25, 2025.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1689403370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 ALVOR CT",
            "city": "CICERO",
            "state": "IN",
            "postal_code": "460340069",
            "telephone_number": "765-603-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 IN 47",
            "address_2": "SUITE 24",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "460699256",
            "telephone_number": "317-758-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHMIDT FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "765-603-9510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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