Donovan Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4814 Issued in LA

Practice address

2149 W Willow St
Scott, LA 70583-5301

Phone

(337) 593-0300

NPI assigned

Sep 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Donavan Smith, DDS a Professional Dental Corporation

  • Dentist
  • Scott, LA
  • NPI 1194869446
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043302268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 W WILLOW ST",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705835301",
            "telephone_number": "337-593-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 W WILLOW ST",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705835301",
            "telephone_number": "337-593-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONOVAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Pharmacy Inc (Scott Pharmacy)
• Kolbi Senegal
• Marjorie Ann Senegal
• Steianta Sinegal
• Smart Medical Transport Services LLC
• Melissa Ortego Sonnier, P.T.
• Soul Twinkle, LLC
• Southern Comfort Community Homes, LLC (Southern Comfort's Scott Adult Day Care)
• Southern Comfort Community Homes, LLC (Southern Comfort's Scott Adult Day Care)
• Reeves Texada

• Dentist in Scott, LA
• Providers in Scott, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.