Individual provider Active NPI

Logan Michael Schmidt, DDS

  • Dentist
  • Memphis, TN
National Provider Identifier
1902326226
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10577 Issued in TN
Practice address
3890 Austin Peay Hwy
Memphis, TN 38128-2501
Phone
(901) 373-3894
NPI assigned
Jun 27, 2017
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10577 TN Primary

Addresses

Primary practice location

3890 Austin Peay Hwy
Memphis, TN 38128-2501

Mailing address

6687 Stonetrace Dr
Bartlett, TN 38135-3053
Phone (870) 284-0380

Other practice location 1

9775 US Highway 64 Ste 101
Arlington, TN 38002-8587
Phone (901) 235-0709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10577TNMDSonography Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Schmidt DDS PLLC Current Accepting new patients
Dentalworks, Dr. Dietz & Associates (Austin Peay), P.C. Dentist PastSince Nov 20, 2022 Accepting new patients

Locations

468 N Parkway
Jackson, TN 38305
Phone (731) 646-1108

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, 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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1902326226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6687 STONETRACE DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381353053",
            "telephone_number": "870-284-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 AUSTIN PEAY HWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282501",
            "telephone_number": "901-373-3894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9775 US Highway 64 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TN",
            "postal_code": "380028587",
            "country_code": "US",
            "telephone_number": "901-235-0709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "LOGAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.