Organization Active NPI

Nicholas Smiley DDS MD PLLC

  • General Practice Dentistry
  • Richland, WA
National Provider Identifier
1053068692
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NICHOLAS SMILEY DDS MD PLLC
Practice address
1363 Columbia Park TRL Ste 103
Richland, WA 99352-4770
Phone
(877) 667-7669
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Aryn Sherfield
Title
Credentialing
Phone
(877) 667-7669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1363 Columbia Park TRL Ste 103
Richland, WA 99352-4770

Mailing address

1363 Columbia Park TRL Ste 103
Richland, WA 99352-4770
Phone (877) 667-7669

National Provider Directory

National Provider Directory

Locations

1363 Columbia Park Trl
Ste 103
Richland, WA 99352

Practitioners & affiliated clinicians

Practitioners 1

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": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1053068692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 COLUMBIA PARK TRL STE 103",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524770",
            "telephone_number": "877-667-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 COLUMBIA PARK TRL STE 103",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524770",
            "telephone_number": "877-667-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS SMILEY DDS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "SHERFIELD",
        "authorized_official_first_name": "ARYN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "877-667-7669"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.