Individual provider Active NPI

Kevin Schmidt, D.D.S

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1831278795
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14136 Issued in MI
Practice address
3250 Plymouth Rd
Ste 202
Ann Arbor, MI 48105-2592
Phone
(734) 761-7830
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14136 MI Primary

Addresses

Primary practice location

3250 Plymouth Rd
Ste 202
Ann Arbor, MI 48105-2592

Mailing address

3250 Plymouth Rd
Ste 202
Ann Arbor, MI 48105-2592
Phone (734) 761-7830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170111002989 MI Order and Referring Only - DentistPractitioner - Dentist 6507814597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14136MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Arbor Family Dental CurrentSince Apr 17, 2022 Accepting new patients

Locations

3250 Plymouth Rd
Ste 202
Ann Arbor, MI 48105
Phone (734) 761-7830

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831278795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 PLYMOUTH RD",
            "address_2": "STE 202",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052592",
            "telephone_number": "734-761-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 PLYMOUTH RD",
            "address_2": "STE 202",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052592",
            "telephone_number": "734-761-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KEVIN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.