Organization Active NPI

Mark C Schmidt, DDS, LLC

  • General Practice Dentistry
  • Feeding Hills, MA
National Provider Identifier
1841488384
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20409 Issued in MA
Legal business name
MARK C SCHMIDT, DDS, LLC
Doing business as
Lifetime Dental
Practice address
1156 Springfield St.
Feeding Hills, MA 01030-2113
Phone
(413) 786-4400
Fax
(413) 786-4410
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Mark C Schmidt, DDSNPI 1598772758
Title
Owner
Phone
(413) 786-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20409 MA Primary

Addresses

Primary practice location

1156 Springfield St.
Feeding Hills, MA 01030-2113

Mailing address

1156 Springfield St.
Feeding Hills, MA 01030-2113
Phone (413) 786-4400

Other names 1

  • Lifetime Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1156 Springfield St
Feeding Hills, MA 01030
Phone (413) 786-4400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1841488384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 SPRINGFIELD ST.",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302113",
            "telephone_number": "413-786-4400",
            "fax_number": "413-786-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 SPRINGFIELD ST.",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302113",
            "telephone_number": "413-786-4400",
            "fax_number": "413-786-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C SCHMIDT, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-786-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Feeding Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.