Active NPI
Kraig A Schmidt
- Pediatrics Physician
- Longmont, CO
National Provider Identifier
1720118664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 140685
- Practice address
- 2345 Bent Way
Longmont, CO 80503-7614 - Phone
- (303) 360-1074
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 140685 | CO | Primary |
Addresses
Primary practice location
2345 Bent Way
Longmont, CO 80503-7614
Mailing address
945 Kohl St
Broomfield, CO 80020-1822
Phone (303) 410-1747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016575 | Other | KAISER-COMMERCIAL 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 |
|---|---|---|---|
| 140685 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720118664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 KOHL ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201822",
"telephone_number": "303-410-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 BENT WAY",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805037614",
"telephone_number": "303-360-1074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "KRAIG",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "140685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "016575",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
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.