Zachary Smith, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5424 Issued in ID

Practice address

780 W Cherry LN
Meridian, ID 83642-1617

Phone

(208) 888-4711

NPI assigned

Jun 8, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Meridian Dental, PLLC

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1295741957
  NPD (past)

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1124757760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421617",
            "telephone_number": "208-888-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 N Cole Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048646",
            "country_code": "US",
            "telephone_number": "208-375-4253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 W Bobwhite Ct Ste 140",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837063994",
            "country_code": "US",
            "telephone_number": "208-345-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall B Smith, D.M.D.
• Rhonda M Smith, MS CCC-SLP
• Steven Alan Smith, M.D.
• Todd Robert Smith, MD
• Troy Alan Smith, DDS
• Mollie Smolkowski, LMSW
• Erika Smollack, LMT
• Alexis Snapp
• Melody L Snider, PHD
• SNP Holdings, LLC

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.