Individual provider Active NPI

Helen Smillie, DMD

  • Dentist
  • Palm Coast, FL
National Provider Identifier
1013447770
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22709 Issued in FL
Practice address
782 Belle Terre Pkwy Ste 100
Palm Coast, FL 32164-2460
Phone
(386) 313-5991
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22709 FL
Dentist 122300000X DN22709 FL Primary

Addresses

Primary practice location

782 Belle Terre Pkwy Ste 100
Palm Coast, FL 32164-2460

Mailing address

782 Belle Terre Pkwy Ste 100
Palm Coast, FL 32164-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123000745 FL Order and Referring Only - DentistPractitioner - Dentist 9133554025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22709FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smillie Dental Ormond PLLC General Practice Current Accepting new patients
Comfortable Care Dental Health Professionals General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1013447770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 BELLE TERRE PKWY STE 100",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 BELLE TERRE PKWY STE 100",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642460",
            "telephone_number": "386-313-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILLIE",
        "first_name": "HELEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22709",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.