Kristin Joy Smits, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33496 Issued in TX

Practice address

10458 Vivienda St
Alta Loma, CA 91737-1753

Phone

(805) 722-7187

NPI assigned

Sep 18, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073032330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10458 VIVIENDA ST",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917371753",
            "telephone_number": "805-722-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10458 VIVIENDA ST",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917371753",
            "telephone_number": "805-722-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITS",
        "first_name": "KRISTIN",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Seguy, D.D.S.
• Alexis Separ
• Niraj V Shah, DDS
• Verdell Simon
• Smiley Homecare LLC
• Eveyln Soto
• Nicole M Sprague
• Steven D. Hernandez, D.D.S. a Professional Corporation
• America Tenisha Stone, P.A
• Wendy Sugiono, DDS

• General Practice Dentistry in Alta Loma, CA
• Providers in Alta Loma, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.