NEW IMAGE MAXILLOFACIAL LLC
NPI 1194767707
Dentist - Oral and Maxillofacial Surgery in Melbourne, FL

Q: What is New Image Maxillofacial LLC's NPI number?

The NPI number for New Image Maxillofacial LLC is 1194767707. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider was formerly known as Richard W Schmid Dds PA.

Q: What is New Image Maxillofacial LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since June 11, 2006

1325 S PINE ST, SUITE 102, MELBOURNE, FL 32901(321) 725-5377(321) 951-3393 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About New Image Maxillofacial Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW IMAGE MAXILLOFACIAL LLC (NPI 1194767707), doing business as Richard W Schmid Dds Pa, is a healthcare organization registered as an oral and maxillofacial surgery in Melbourne, Florida and active in the NPI registry since June 2006. The organization lists Richard W Schmid, Manager, as its authorized official.

NPPES Registry Identity

NPI1194767707

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameNEW IMAGE MAXILLOFACIAL LLC

Location Address1325 S PINE ST, SUITE 102Melbourne, FL 32901-3189

Mailing Address1325 S Pine St, Suite 102Melbourne, FL 32901-3189 · (321) 725-5377 · Fax (321) 951-3393

Phone(321) 725-5377

Fax(321) 951-3393

Organization SubpartNo

Authorized OfficialRichard W SchmidManager · (321) 725-5377

Enumeration DateJune 11, 2006

Last NPPES UpdateMay 19, 2014

✔ NPI 1194767707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in FL · DN7413

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1325 S PINE ST, Melbourne, FL 32901

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Other Names 1

Former Legal Business NameRichard W Schmid Dds Pa

Other Identifiers 3

Medicare PIN86404XFL

Medicare PINHT321AFL

Medicare PINFK119YFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Image Maxillofacial Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to New Image Maxillofacial LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Travis Austin, DDS

Oral Surgery

NPI 1073670550

1325 PINE ST STE 102
Melbourne, FL 32901

(321) 725-5377

✔ PECOS✔ Accepts MedicareSame address

King Kim, D.M.D.

Maxillofacial Surgery

NPI 1639358211

1325 S PINE ST SUITE 102
Melbourne, FL 32901

(321) 725-5377

✔ PECOS✔ Accepts MedicareSame address

Richard Schmid, DDS

Oral Surgery

NPI 1740458934

1325 S PINE ST SUITE 102
Melbourne, FL 32901

(321) 725-5377

✔ PECOS✔ Accepts MedicareSame address

Tyler Banachowski, DDS

Oral Surgery

NPI 1033484944

2223 SARNO RD
Melbourne, FL 32935

(321) 425-2018

✔ PECOS3.4 mi

Joshua Ospina, DMD

Oral Surgery

NPI 1851985519

1849 JESS PARRISH CT
Titusville, FL 32796

(321) 725-5377

✔ PECOS✔ Accepts Medicare39 mi

Zenon Kossak, DDS, MD

Maxillofacial Surgery

NPI 1306109475

300 E LONG LAKE RD STE 290
Bloomfield Hills, MI 48304

(248) 203-2330

✔ PECOS1,010 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Image Maxillofacial LLC's NPI number?

The NPI number for New Image Maxillofacial LLC is 1194767707. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider was formerly known as Richard W Schmid Dds PA.

Where is New Image Maxillofacial LLC located?

New Image Maxillofacial LLC is located at 1325 S Pine St Suite 102, Melbourne, FL 32901. The listed phone number is (321) 725-5377.

What is New Image Maxillofacial LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is New Image Maxillofacial LLC enrolled in Medicare?

Yes. New Image Maxillofacial LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Image Maxillofacial LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to New Image Maxillofacial LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Oral Surgery (4) and Maxillofacial Surgery (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does New Image Maxillofacial LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list New Image Maxillofacial LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for New Image Maxillofacial LLC was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.