Organization Active NPI

Ronald C. Smith, DDS

  • Dental Clinic/Center
  • Ames, IA
National Provider Identifier
1114194339
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
05652 Issued in IA
Legal business name
RONALD C. SMITH, DDS
Practice address
1212 Duff Ave
Ames, IA 50010-5467
Phone
(151) 523-3217
Fax
(515) 233-0351
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Ronald Craig Smith, D.D.S.
Title
Owner
Phone
(515) 233-2174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 05652 IA Primary

Addresses

Primary practice location

1212 Duff Ave
Ames, IA 50010-5467

Mailing address

1212 Duff Ave
Ames, IA 50010-5467
Phone (151) 523-3217

Other identifiers 1

IdentifierTypeStateIssuer
0108878MedicaidIA

National Provider Directory

National Provider Directory

Locations

1212 Duff Ave
Ames, IA 50010
Phone (515) 232-6830

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1114194339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105467",
            "telephone_number": "151-523-3217",
            "fax_number": "515-233-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105467",
            "telephone_number": "151-523-3217",
            "fax_number": "515-233-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C. SMITH, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "15152332174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "05652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108878",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.