Carl a. Smudde

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007519 Issued in IN

Legal business name

CARL A. SMUDDE

Practice address

1608 Lafayette Ave
Terre Haute, IN 47804-2021

Phone

(812) 466-9826

Fax

(812) 466-1720

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Carl A Smudde

Title

Dentist

Phone

(812) 466-9826

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredeth Su Gray, DDS

  • Dentist
  • Terre Haute, IN
  • NPI 1841503257
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1134424930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LAFAYETTE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042021",
            "telephone_number": "812-466-9826",
            "fax_number": "812-466-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LAFAYETTE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042021",
            "telephone_number": "812-466-9826",
            "fax_number": "812-466-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL A. SMUDDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "SMUDDE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "812-466-9826"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "100250380A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Mae Cardin, MD
• Cardiothoracic Specialties
• Care Counseling
• Caring Companions, Inc.
• Caring Hands Residential Services LLC
• Gwendolyn Carmen
• Kendal R. Carpenter, PA-C
• Lori A Carpenter, APRN
• Todd M Carpenter, PSYD, HSPP
• Jade Carr, RBT

• General Practice Dentistry in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.