Gabriel Mathew Schmidtke, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AZ5859 Issued in AZ

Practice address

5295 E Knight Drive
Tucson, AZ 85712

Phone

(520) 885-9977

Fax

(520) 546-1880

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1689762460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 E KNIGHT DRIVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-885-9977",
            "fax_number": "520-546-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 E KNIGHT DRIVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-885-9977",
            "fax_number": "520-546-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDTKE",
        "first_name": "GABRIEL",
        "middle_name": "MATHEW",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5859",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ5859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200482488",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Schmidt, MS, RRT, RRT-ACCS
• Ryan Edwards Schmidt
• Stephen Andrew Schmidt
• Tobey Palmer Schmidt, M.A. CCC-SLP
• Schmidtke Dental, PC
• Gerard Mathew Schmidtke, D.D.S
• Kevin M. Schmidtke, D.M.D.
• Nicole E. Schmidtke, MS, RD, CNSD
• Ashly Schmitt, PT, DPT
• Bethany Schmitt, COTA/L

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.