Individual provider Active NPI

Steven Todd Schmitt, D.M.D.

  • General Practice Dentistry
  • Clarksville, TN
National Provider Identifier
1740346170
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS0000009772 Issued in TN
Practice address
1692 Fort Campbell Blvd
Clarksville, TN 37042-7531
Phone
(931) 647-3960
Fax
(931) 645-3545
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 611195051 KY
General Practice Dentistry 1223G0001X 364546814 KY
General Practice Dentistry 1223G0001X DS0000009772 TN Primary

Addresses

Primary practice location

1692 Fort Campbell Blvd
Clarksville, TN 37042-7531

Mailing address

1692 Fort Campbell Blvd
Clarksville, TN 37042-7531
Phone (931) 647-3960

Other practice location 1

2240 Taylorsville Rd
Louisville, KY 40205-2146
Phone (502) 454-0760

Other identifiers 2

IdentifierTypeStateIssuer
611195051OtherKYSENECA DENTAL CARE
364546814OtherKYLOUISVILLE SMILE CENTER

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

LicenseStateTypeSpecialty
364546814KYMDGeneral Practice Dentistry
611195051KYMDGeneral Practice Dentistry
DS0000009772TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Schmitt Dental PC General Practice CurrentSince Jun 27, 2021 Accepting new patients
Bridges Dental Care, LLC Past Accepting new patients

Locations

1692 Fort Campbell Blvd
Clarksville, TN 37042
Phone (931) 552-7745

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1740346170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 FORT CAMPBELL BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427531",
            "telephone_number": "931-647-3960",
            "fax_number": "931-645-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 FORT CAMPBELL BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427531",
            "telephone_number": "931-647-3960",
            "fax_number": "931-645-3545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 Taylorsville Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402052146",
            "country_code": "US",
            "telephone_number": "502-454-0760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "STEVEN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "611195051",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "364546814",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000009772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENECA DENTAL CARE",
            "identifier": "611195051",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISVILLE SMILE CENTER",
            "identifier": "364546814",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.