Mary A Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2010027549 Issued in MO

Practice address

65 Centre Pointe Dr Ste 200
Saint Peters, MO 63304-8569

Phone

(636) 441-3466

Fax

(636) 441-5330

NPI assigned

Aug 9, 2010

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

Medicare fee-for-service enrollment

Enrolled in MO

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1134434699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CENTRE POINTE DR STE 200",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633048569",
            "telephone_number": "636-441-3466",
            "fax_number": "636-441-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CENTRE POINTE DR STE 200",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633048569",
            "telephone_number": "636-441-3466",
            "fax_number": "636-441-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2010027549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Smerz, LCSW
• Smith Vision Care LLC
• Allison Kay Smith
• Doris M Smith, COTA
• Kelsey Caitlin Smith, DDS, MD
• Sarah Ann Smith, D.D.S.
• Susanne Drott Smith
• Timothy R. Smith, M.D.
• Smith'S Healthcare Services, LLC
• Cynthia Ann Snider, M.S. CCC-SLP

• Dentist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.