Individual provider Active NPI

James Leo Schmidt, D.D.S.

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1881625010
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019018293 Issued in IL
Practice address
7809 Watson Rd
Saint Louis, MO 63119-5408
Phone
(314) 968-7979
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 013996 MO
General Practice Dentistry 1223G0001X 019018293 IL Primary

Addresses

Primary practice location

7809 Watson Rd
Saint Louis, MO 63119-5408

Mailing address

7809 Watson Rd
Saint Louis, MO 63119-5408
Phone (314) 258-1719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160713001591 MO Order and Referring Only - DentistPractitioner - Dentist 0042502908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019018293ILMDGeneral Practice Dentistry
013996MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dental Arts Watson Road LLC CurrentSince Jun 23, 2024 Accepting new patients
James L Schmidt D.D.S. PC General Practice Past Accepting new patients

Locations

7809 Watson Rd
Saint Louis, MO 63119
Phone (314) 968-7979

Organizations & group practices 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1881625010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195408",
            "telephone_number": "314-258-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195408",
            "telephone_number": "314-968-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JAMES",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013996",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.