Patrick C. Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10836 Issued in FL

Practice address

13901 US Highway 1 Ste 9
Juno Beach, FL 33408-1612

Phone

(561) 694-9000

Fax

(561) 694-9001

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124132972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 US HIGHWAY 1 STE 9",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081612",
            "telephone_number": "561-694-9000",
            "fax_number": "561-694-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 US HIGHWAY 1 STE 9",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081612",
            "telephone_number": "561-694-9000",
            "fax_number": "561-694-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICK",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "10836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina A Shenouda
• Haley Jane Sicard, DMD
• Milenis I Silva, LICENSED MASSAGE THE
• Mary M Sims, ARNP
• Donna Marie Smith, LMT
• Stephanie Ann Smith, CCC-SLP
• Star Medical FL PLLC
• Douglas Lee Stephenson, O.D.
• Sydney Marie Stephenson
• Veronica Carrie Stern, L.M.T.

• General Practice Dentistry in Juno Beach, FL
• Providers in Juno Beach, FL by specialty
• General Practice Dentistry in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.