Derek Schneickert, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2020016243 Issued in MO

Practice address

1935 S Range Line Rd
Joplin, MO 64804-3238

Phone

(417) 420-9014

NPI assigned

Jun 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1881210144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20688 AUDRAIN ROAD 928",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652656224",
            "telephone_number": "417-629-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 S RANGE LINE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043238",
            "telephone_number": "417-420-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEICKERT",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2020016243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Joplin",
            "affiliation": "N",
            "address_1": "1935 S Range Line Rd",
            "city": "Joplin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "648043238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Connor Jacob Schmidt, DO
• Jennifer Schmidt
• Uwe A Schmidt, MD
• Vincent Johnathan Schmidt, MEDICAL STUDENT
• Bailey Schmitt
• Tina Marie Schnelle, RD
• Roger Harold Schoenfeld, DO
• School District of Joplin R-VIII
• Trisha Ann Schreffler, FNP
• Mackenzie Lynn Schuler

• Dentist in Joplin, MO
• Providers in Joplin, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.