Active NPI
Logan Michael Schmidt, DDS
- Dentist
- Memphis, TN
National Provider Identifier
1902326226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10577
- Practice address
- 3890 Austin Peay Hwy
Memphis, TN 38128-2501 - Phone
- (901) 373-3894
- NPI assigned
- Jun 27, 2017
- Last updated
- Nov 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10577 | TN | MD | Sonography Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Schmidt DDS PLLC | Current | Accepting new patients | |
| Dentalworks, Dr. Dietz & Associates (Austin Peay), P.C. | Dentist | Past | 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.
-
- General Practice Dentistry
- Jackson, TN
- NPI 1346086212
-
- General Practice Dentistry
- Memphis, TN
- NPI 1407826902
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.