Kelsey Caitlin Smith, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2016018483 Issued in MO

Practice address

1 Mid Rivers Mall Dr Ste 310
Saint Peters, MO 63376-4323

Phone

(636) 928-7217

NPI assigned

Mar 23, 2016

Last updated

Jul 20, 2022By the provider in NPPES

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksmith21613@ukhcdirect.org

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.

• Missouri Center for Oral Surgery and Implants LLC

  dba First Capitol Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Wentzville, MO
  • NPI 1447962915
  NPD Authorized official
• Missouri Center for Oral Surgery and Implants LLC

  dba First Capitol Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Peters, MO
  • NPI 1801508379
  NPD Authorized official

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1205298866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MID RIVERS MALL DR STE 310",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764323",
            "telephone_number": "163-692-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MID RIVERS MALL DR STE 310",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764323",
            "telephone_number": "636-928-7217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_2": "Room D-508",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405367001",
            "country_code": "US",
            "telephone_number": "859-257-2002",
            "fax_number": "859-323-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "853 Medical Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853825",
            "country_code": "US",
            "telephone_number": "636-887-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "middle_name": "CAITLIN",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2016018483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Elizabeth Toebe Smart
• Charles Smerz, LCSW
• Smith Vision Care LLC
• Allison Kay Smith
• Doris M Smith, COTA
• Mary A Smith, DDS
• Sarah Ann Smith, D.D.S.
• Susanne Drott Smith
• Timothy R. Smith, M.D.
• Smith's Healthcare Services, LLC

• Oral and Maxillofacial Surgery (Dentist) in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.