Staci Megan Smith, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

062070 Issued in NY

Practice address

2592 Merrick Rd Unit C
Bellmore, NY 11710-5742

Phone

(516) 781-9700

NPI assigned

Feb 6, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1194357277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 MERRICK RD UNIT C",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105742",
            "telephone_number": "516-781-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 MERRICK RD UNIT C",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105742",
            "telephone_number": "516-781-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACI",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Sonia Skeete
• Ilana Slavin, MS. ED, LMT
• Tyra L Smith Banks
• Anna Smith, LCSW
• Shannon Marie Smith, LPN
• Caroline May Smyth, NP
• Nathan Solat, O.D.
• William Solz
• South Nassau Primary Medical Care PC
• South Shore Dialysis Inc. - Bellmore

• General Practice Dentistry in Bellmore, NY
• Providers in Bellmore, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.