Nathan Merrill Smith, DMD

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

0401416242 Issued in VA

Practice address

140B Purcellville Gateway Dr # 543
Purcellville, VA 20132-3485

Phone

(412) 389-9233

NPI assigned

Jun 28, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1023329778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140B PURCELLVILLE GATEWAY DR # 543",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323485",
            "telephone_number": "412-389-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140B PURCELLVILLE GATEWAY DR # 543",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323485",
            "telephone_number": "412-389-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Market St",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445125639",
            "country_code": "US",
            "telephone_number": "330-629-8884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHAN",
        "middle_name": "MERRILL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023261",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "VA",
            "license": "0401416242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany W Simco, M.S., OTR/L
• Simren Kaur Singh, D.D.S.
• Autumn Sissler
• Lee Ann Skinner, ATC
• Stefanie L Smeigh
• Timothy A Smith, D.D.S.
• Social Connections LLC
• Steven Ira Solow, LPC
• Maria Michelle Soriano
• South Fork Dentistry PLLC

• Dental Anesthesiology in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Dental Anesthesiology in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.