Dewayne Rush Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6708 Issued in WA

Practice address

8604 112TH St E
Puyallup, WA 98373-3857

Phone

(253) 845-0558

Fax

(253) 841-0980

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rick Y. Lieu, D.D.S.,PLLC

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1467691378
  NPD (past)
• Omni Dental Group

  • General Practice Dentistry
  • Austin, TX
  • NPI 1942376884
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1104839604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 JOLLEYVILLE ROAD",
            "address_2": "SUITE 1500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-346-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 112TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733857",
            "telephone_number": "253-845-0558",
            "fax_number": "253-841-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEWAYNE",
        "middle_name": "RUSH",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christianne Smith
• Christina A Smith
• Connor Kamm Smith, PHARM D
• Courtney Gail Smith, LMP
• Daniel Steven Smith, DDS
• Ellen Rene Smith, MS CCC-A
• Gina M Smith, BS
• Heather Ashley Smith, LMP
• Ian B Smith, LMP
• Jana Rae Smith, OT

• General Practice Dentistry in Puyallup, WA
• Providers in Puyallup, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.