Joseph R Smith,II, DDS,PA

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

4119 Issued in NC

Legal business name

JOSEPH R SMITH,II, DDS,PA

Practice address

3877 James Street
Bethel, NC 27812-0936

Phone

(252) 825-1131

Fax

(252) 825-0220

NPI assigned

Mar 24, 2008

Last updated

Dec 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph R Smith II, DDSNPI 1912949066

Title

Doctor

Phone

(252) 825-1131

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Roy Smith II, DDS

  • General Practice Dentistry
  • Bethel, NC
  • NPI 1912949066
  NPD (past) Authorized official

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1073785622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 JAMES STREET",
            "address_2": "PO BOX 936",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278120936",
            "telephone_number": "252-825-1131",
            "fax_number": "252-825-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3877 JAMES STREET",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278120936",
            "telephone_number": "252-825-1131",
            "fax_number": "252-825-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R SMITH,II, DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "252-825-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "4119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997937",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Carolina University (ECU Physicians)
• Kate Gaglias
• Galaxy Transportation NC, LLC
• Greenville Health Care Center, P.a. (Bethel Health Care Center)
• Shelby Marie Hoggard
• L.E.E. Community Support and Wellness Center, Inc
• Lee Community Support and Wellness
• Mitchell and Crandell Family Services
• Monarch
• Casey Ann Pippen

• Exclusive Provider Organization in Bethel, NC
• Providers in Bethel, NC by specialty
• Exclusive Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.