Organization Active NPI

Alexaundrea Smith D.D.S., Inc.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1033872189
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALEXAUNDREA SMITH D.D.S., INC.
Practice address
5831 Overhill Dr
Los Angeles, CA 90043-2715
Phone
(323) 296-6180
Fax
(323) 296-0669
NPI assigned
Oct 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Alexaundrea Smith, DDSNPI 1629621610
Title
President
Phone
(323) 296-6180

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5831 Overhill Dr
Los Angeles, CA 90043-2715

Mailing address

5831 Overhill Dr
Los Angeles, CA 90043-2715
Phone (323) 296-6180

Other names 1

  • Overhill Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5831 Overhill Dr
Windsor Hills, CA 90043
Phone (310) 916-4028

Practitioners & affiliated clinicians

Practitioners 2

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": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1033872189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 OVERHILL DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432715",
            "telephone_number": "323-296-6180",
            "fax_number": "323-296-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 OVERHILL DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432715",
            "telephone_number": "323-296-6180",
            "fax_number": "323-296-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXAUNDREA SMITH D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALEXAUNDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-296-6180",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overhill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.