Colby Steven Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58650 Issued in CA

Practice address

7060 Douglas Blvd
Granite Bay, CA 95746-6250

Phone

(916) 735-4720

NPI assigned

Nov 18, 2009

Sex

Male

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 CA

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colby Smith DDS, Inc

  • Dental Clinic/Center
  • Granite Bay, CA
  • NPI 1295373207
  NPD Authorized official
• Lindsay Costantino, DDS Inc

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1578376323
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1144558826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8769 AUBURN FOLSOM RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466203",
            "telephone_number": "916-735-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 DOUGLAS BLVD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466250",
            "telephone_number": "916-735-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLBY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Shults, PHARM.D.
• Kimberly Ann Silsby, L.AC.
• Lauryn Simao
• Ranbir Singh, DMD, MPH
• Timothy M. Slone, D.C., D.A.C.N.B.
• Margaret K Smith, D.C.
• Reanna Smith
• Slayton Smith
• Meghan R Snipes, PSY.D.
• Justin Snow

• General Practice Dentistry in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.