Wendy L. Kincaid Smovir, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8453 Issued in OR

Practice address

4855 SW Western Ave.
Beaverton, OR 97005-3499

Phone

(503) 626-4148

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Wendy Kincaid Professional name

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1114969599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 SW WESTERN AVE.",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053499",
            "telephone_number": "503-626-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 SW WESTERN AVE.",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053499",
            "telephone_number": "503-626-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOVIR",
        "first_name": "WENDY",
        "middle_name": "L. KINCAID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "KINCAID",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Elizabeth Smith, LMT
• Mary Louise Smith, C.P.M., L.D.M.
• Randolph Wes Smith, SLP
• Robynnelle Jacinda Smith
• Tameka Ann Smith, MD
• David Smowton, LMT
• Angela D Snair, HAS
• Joel Snair
• Rylee Sneath
• Yolanda Snider

• General Practice Dentistry in Beaverton, OR
• Providers in Beaverton, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.