Active NPI
Patrick Lloyd Smith, DDS
- Dentist
- Dorchester, MA
National Provider Identifier
1174530844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10739
- Practice address
- 172 Ashmont St
Dorchester, MA 02124-3745 - Phone
- (617) 288-2920
- NPI assigned
- Aug 2, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10739 | MA | Primary |
Addresses
Primary practice location
172 Ashmont St
Dorchester, MA 02124-3745
Mailing address
172 Ashmont St
Dorchester, MA 02124-3745
Phone (617) 288-2920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10739 | Other | MA | LICENSE |
| 0291218 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10739 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1174530844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 ASHMONT ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021243745",
"telephone_number": "617-288-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 ASHMONT ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021243745",
"telephone_number": "617-288-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PATRICK",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "10739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "10739",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0291218",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.