Individual provider Active NPI

Colson T Smith, DMD

  • General Practice Dentistry
  • Anniston, AL
National Provider Identifier
1043879547
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0006634-C1 Issued in AL
Practice address
1695 Golden Springs Rd
Anniston, AL 36207-7097
Phone
(256) 831-1333
Fax
(256) 831-1837
NPI assigned
Jun 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0006634-C1 AL Primary

Addresses

Primary practice location

1695 Golden Springs Rd
Anniston, AL 36207-7097

Mailing address

1695 Golden Springs Rd
Anniston, AL 36207-7097
Phone (256) 831-1333

Other practice location 1

76 County Road 64 Ste 1
Woodland, AL 36280-5211
Phone (256) 449-2448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190726001007 AL Order and Referring Only - DentistPractitioner - Dentist 1850627910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0006634-C1ALMDGeneral Practice Dentistry
6634ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Travis P. Phillips, DMD, LLC General Practice Past Accepting new patients
Al Dental Professionals PC General Practice PastSince Jun 23, 2024 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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1043879547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 GOLDEN SPRINGS RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362077097",
            "telephone_number": "256-831-1333",
            "fax_number": "256-831-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 GOLDEN SPRINGS RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362077097",
            "telephone_number": "256-831-1333",
            "fax_number": "256-831-1837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 County Road 64 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "AL",
            "postal_code": "362805211",
            "country_code": "US",
            "telephone_number": "256-449-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLSON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "0006634-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.