Active NPI
Gary A Smith, DDS
- General Practice Dentistry
- Glendale, AZ
National Provider Identifier
1063472033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- AZ1926
- Practice address
- 9160 N 43Rd Ave
Glendale, AZ 85302-3801 - Phone
- (623) 931-9221
- Fax
- (623) 937-4315
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | AZ1926 | AZ | Primary |
Addresses
Primary practice location
9160 N 43Rd Ave
Glendale, AZ 85302-3801
Mailing address
9160 N 43Rd Ave
Glendale, AZ 85302-3801
Phone (623) 931-9221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ1926 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063472033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9160 N 43RD AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023801",
"telephone_number": "623-931-9221",
"fax_number": "623-937-4315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9160 N 43RD AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023801",
"telephone_number": "623-931-9221",
"fax_number": "623-937-4315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "AZ1926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.