Active NPI
Bridgette Erin Schmidt, D.D.S.
- Pediatric Dentistry
- Spencer, IA
National Provider Identifier
1932309929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 08504
- Practice address
- 14 E 4TH St
Spencer, IA 51301-4009 - Phone
- (712) 580-3300
- Fax
- (712) 580-4328
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 08504 | IA | Primary |
Addresses
Primary practice location
14 E 4TH St
Spencer, IA 51301-4009
Mailing address
PO Box 1059
Spencer, IA 51301-1059
Phone (712) 580-3300
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 |
|---|---|---|---|
| 08504 | IA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1932309929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1059",
"city": "SPENCER",
"state": "IA",
"postal_code": "513011059",
"telephone_number": "712-580-3300",
"fax_number": "712-580-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 E 4TH ST",
"city": "SPENCER",
"state": "IA",
"postal_code": "513014009",
"telephone_number": "712-580-3300",
"fax_number": "712-580-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "BRIDGETTE",
"middle_name": "ERIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IA",
"license": "08504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.