Organization Active NPI

Donald L. Smitha, DDS, MDS, PA

  • Prosthodontics
  • Jacksonville, FL
National Provider Identifier
1003005299
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN 5802 Issued in FL
Legal business name
DONALD L. SMITHA, DDS, MDS, PA
Practice address
812 Alderman Rd
Jacksonville, FL 32211-6102
Phone
(904) 725-8282
Fax
(904) 725-7197
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Donald L. Smitha, DDS
Title
President
Phone
(904) 725-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X DN 5802 FL Primary

Addresses

Primary practice location

812 Alderman Rd
Jacksonville, FL 32211-6102

Mailing address

812 Alderman Rd
Jacksonville, FL 32211-6102
Phone (904) 725-8282

Other identifiers 2

IdentifierTypeStateIssuer
1215951132OtherNPI NUMBER
K7516OtherMEDICARE OFFICE NUMBER

National Provider Directory

National Provider Directory

Locations

812 Alderman Rd
Jacksonville, FL 32211
Phone (904) 725-8282

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1003005299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 ALDERMAN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322116102",
            "telephone_number": "904-725-8282",
            "fax_number": "904-725-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 ALDERMAN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322116102",
            "telephone_number": "904-725-8282",
            "fax_number": "904-725-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L. SMITHA, DDS, MDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITHA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-725-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN 5802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1215951132",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OFFICE NUMBER",
            "identifier": "K7516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.