Active NPI
Dave L. Smith, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Las Vegas, NV
National Provider Identifier
1083713887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3082
- Practice address
- 5320 W Sahara Ave
Suite 4
Las Vegas, NV 89146-3306 - Phone
- (702) 871-1808
- Fax
- (702) 871-3767
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3082 | NV | Primary |
Addresses
Primary practice location
5320 W Sahara Ave
Suite 4
Las Vegas, NV 89146-3306
Mailing address
5320 W Sahara Ave
Suite 4
Las Vegas, NV 89146-3306
Phone (702) 871-1808
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3082 | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083713887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 W SAHARA AVE",
"address_2": "SUITE 4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463306",
"telephone_number": "702-871-1808",
"fax_number": "702-871-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5320 W SAHARA AVE",
"address_2": "SUITE 4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463306",
"telephone_number": "702-871-1808",
"fax_number": "702-871-3767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DAVE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NV",
"license": "3082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.