Individual provider Active NPI

Richard W Schmid, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Melbourne, FL
National Provider Identifier
1740458934
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN7413 Issued in FL
Practice address
1325 S Pine St
Suite 102
Melbourne, FL 32901-3189
Phone
(321) 725-5377
Fax
(321) 951-3393
NPI assigned
Feb 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN7413 FL Primary

Addresses

Primary practice location

1325 S Pine St
Suite 102
Melbourne, FL 32901-3189

Mailing address

1325 S Pine St
Suite 102
Melbourne, FL 32901-3189
Phone (321) 725-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921001125 FL Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 1456385103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
University of Michigan Medical School, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Image Maxillofacial LLCGroup PAC ID 6800029331, 4 clinicians

Practice addresses (Care Compare)

1325 Pine St
Suite 102
Melbourne, FL 32901-3189
Phone (321) 725-5377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN7413FLMDOral and Maxillofacial Surgery (Dentist)
7413FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Image Maxillofacial LLC Oral and Maxillofacial Surgery CurrentSince Oct 1, 1999 Accepting new patients
Aeve, PA Past Accepting new patients
Abilene Advanced Eyecare Inc. PastSince Dec 1, 2003 Accepting new patients

Locations

1325 Pine St
Ste 102
Melbourne, FL 32901
Phone (321) 725-5377

7155 Turner Rd
Rockledge, FL 32955
Phone (321) 255-7724

Interoperability endpoints

  • Direct secure messaging: rschmid71609@epicdirect.hf.org

Organizations & group practices 3

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1740458934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S PINE ST",
            "address_2": "SUITE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013189",
            "telephone_number": "321-725-5377",
            "fax_number": "321-951-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S PINE ST",
            "address_2": "SUITE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013189",
            "telephone_number": "321-725-5377",
            "fax_number": "321-951-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMID",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN7413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.