Individual provider Active NPI

Annalisa Taylor Smith, DMD

  • General Practice Dentistry
  • Oregon City, OR
National Provider Identifier
1154637577
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9360 Issued in OR
Practice address
602 Monroe St
Oregon City, OR 97045-2337
Phone
(503) 656-8250
Fax
(503) 655-5430
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60191885 WA
General Practice Dentistry 1223G0001X 9360 OR Primary

Addresses

Primary practice location

602 Monroe St
Oregon City, OR 97045-2337

Mailing address

602 Monroe St
Oregon City, OR 97045-2337
Phone (503) 656-8250

Other names 1

  • Dr. Annalisa Taylor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9360ORMDGeneral Practice Dentistry
DE60191885WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Barichello Family Dentistry P.C. General Practice Past Accepting new patients
Smith Family Dentistry PC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1154637577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MONROE ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452337",
            "telephone_number": "503-656-8250",
            "fax_number": "503-655-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MONROE ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452337",
            "telephone_number": "503-656-8250",
            "fax_number": "503-655-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNALISA",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60191885",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "9360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNALISA",
            "last_name": "TAYLOR",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.