NPIMap

Organization Active NPI

Kelvin B. Smith, DDS, LLC

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1003058801
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8650 Issued in MD
Legal business name
KELVIN B. SMITH, DDS, LLC
Practice address
7008 Security Blvd
Suite 110
Baltimore, MD 21244-2566
Phone
(410) 277-9206
Fax
(410) 277-9209
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Kelvin Bruce Smith, D.D.S.NPI 1902898430
Title
Managing Member
Phone
(410) 277-9206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8650 MD Primary

Addresses

Primary practice location

7008 Security Blvd
Suite 110
Baltimore, MD 21244-2566

Mailing address

7008 Security Blvd
Suite 110
Baltimore, MD 21244-2566
Phone (410) 277-9206

National Provider Directory

National Provider Directory

Locations

7008 Security Blvd
Ste 110
Windsor Mill, MD 21244
Phone (410) 277-9206

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1003058801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 SECURITY BLVD",
            "address_2": "SUITE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442566",
            "telephone_number": "410-277-9206",
            "fax_number": "410-277-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 SECURITY BLVD",
            "address_2": "SUITE 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442566",
            "telephone_number": "410-277-9206",
            "fax_number": "410-277-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELVIN B. SMITH, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-277-9206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.