Provider Demographics
NPI:1801849971
Name:SCHMIDT, DWIGHT B (DC)
Entity Type:Individual
Prefix:DR
First Name:DWIGHT
Middle Name:B
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 2ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-4104
Mailing Address - Country:US
Mailing Address - Phone:701-251-1550
Mailing Address - Fax:701-952-1504
Practice Address - Street 1:102 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-4104
Practice Address - Country:US
Practice Address - Phone:701-251-1550
Practice Address - Fax:701-952-1504
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND380111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND13480Medicaid
ND4295OtherNORTH DAKOTA BLUE SHIELD
350025830OtherRAILROAD MEDICARE
NDN4295Medicare ID - Type Unspecified
ND13480Medicaid
NDT66816Medicare UPIN