Active NPI
Richard W Schmid, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Melbourne, FL
National Provider Identifier
1740458934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN7413
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of Michigan Medical School, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN7413 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 7413 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Image Maxillofacial LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Aeve, PA | Past | Accepting new patients | |
| Abilene Advanced Eyecare Inc. | Past | 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
- 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Melbourne, FL
- NPI 1194767707
-
- Optometrist
- Abilene, TX
- NPI 1104001643
-
- Optometrist
- Abilene, TX
- NPI 1083159800
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.