NPIMap

Organization Active NPI

Richard C Schmidt

  • Dentist
  • Medford, OR
National Provider Identifier
1720080591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4663 Issued in OR
Legal business name
RICHARD C SCHMIDT
Practice address
670 Superior CT
Suite 101
Medford, OR 97504-6174
Phone
(541) 779-6170
Fax
(541) 779-0989
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Virginia M Boyer
Title
Administrator
Phone
(541) 779-6170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D4663 OR Primary

Addresses

Primary practice location

670 Superior CT
Suite 101
Medford, OR 97504-6174

Mailing address

670 Superior CT
Suite 101
Medford, OR 97504-6174
Phone (541) 779-6170

National Provider Directory

National Provider Directory

Locations

670 Superior Ct
Ste 101
Medford, OR 97504
Phone (541) 779-6170

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720080591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 SUPERIOR CT",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046174",
            "telephone_number": "541-779-6170",
            "fax_number": "541-779-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SUPERIOR CT",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046174",
            "telephone_number": "541-779-6170",
            "fax_number": "541-779-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C SCHMIDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-779-6170"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D4663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.