Individual provider Active NPI

Smrity Amatya, DMD

  • General Practice Dentistry
  • Temple, TX
National Provider Identifier
1023482940
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31775 Issued in TX
Practice address
3108 S 31St St
Temple, TX 76502-1803
Phone
(254) 742-1800
NPI assigned
Nov 16, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040649 PA
General Practice Dentistry 1223G0001X 31775 TX Primary

Addresses

Primary practice location

3108 S 31St St
Temple, TX 76502-1803

Mailing address

2604 Twin Ridge CT
Belton, TX 76513-1387
Phone (484) 326-8867

Other practice location 1

1450 W Cameron Ave
Rockdale, TX 76567-2641
Phone (512) 593-7071

Other practice location 2

1450 W Cameron Ave
Rockdale, TX 76567-2641
Phone (512) 593-7071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160519001054 PA Order and Referring Only - DentistPractitioner - Dentist 5890084578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31775TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Cave Family Dentistry PLLC Dentist Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023482940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 TWIN RIDGE CT",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131387",
            "telephone_number": "484-326-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021803",
            "telephone_number": "254-742-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 W Cameron Ave",
            "address_purpose": "LOCATION",
            "city": "Rockdale",
            "state": "TX",
            "postal_code": "765672641",
            "country_code": "US",
            "telephone_number": "512-593-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 W Cameron Ave",
            "address_purpose": "LOCATION",
            "city": "Rockdale",
            "state": "TX",
            "postal_code": "765672641",
            "country_code": "US",
            "telephone_number": "512-593-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMATYA",
        "first_name": "SMRITY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040649",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.