Individual provider Active NPI

Dustin Eugene Schmidt, D.C.

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1780812131
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3927 Issued in OK
Practice address
6516 N Olie Ave
Suite D
Oklahoma City, OK 73116-7226
Phone
(405) 509-7017
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3927 OK Primary

Addresses

Primary practice location

6516 N Olie Ave
Suite D
Oklahoma City, OK 73116-7226

Mailing address

PO Box 3033
Edmond, OK 73083-3033
Phone (405) 509-7017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826000177 OK Practitioner - Chiropractic 9335367846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6801 N Classen Blvd
Suite B
Oklahoma City, OK 73116-7205
Phone (405) 509-7017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3927OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Wellness Chiropractic Physicians, PLLC Chiropractor CurrentSince Jul 10, 2014 Accepting new patients

Locations

6801 N Classen Blvd
Ste B
Oklahoma City, OK 73116
Phone (405) 810-1984

6516 N Olie Ave
Ste D
Oklahoma City, OK 73116
Phone (405) 509-7017

6608 N Western Ave
Oklahoma City, OK 73116
Phone (262) 354-8179

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1780812131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3033",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730833033",
            "telephone_number": "405-509-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 N OLIE AVE",
            "address_2": "SUITE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167226",
            "telephone_number": "405-509-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "DUSTIN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.