Organization Active NPI

Douglas L Smith, DDS, PC

  • Dental Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1215139563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3608 Issued in AZ
Legal business name
DOUGLAS L SMITH, DDS, PC
Practice address
1467 W Elliot Rd
Suite 101
Gilbert, AZ 85233-5167
Phone
(482) 926-4498
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas L Smith, DDS
Title
President
Phone
(480) 926-4498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3608 AZ Primary

Addresses

Primary practice location

1467 W Elliot Rd
Suite 101
Gilbert, AZ 85233-5167

Mailing address

1467 W Elliot Rd
Suite 101
Gilbert, AZ 85233-5167
Phone (482) 926-4498

Other identifiers 1

IdentifierTypeStateIssuer
AZ3608OtherAZDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

1467 W Elliot Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 926-4498

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215139563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 W ELLIOT RD",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335167",
            "telephone_number": "482-926-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 W ELLIOT RD",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335167",
            "telephone_number": "482-926-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L SMITH, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-926-4498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "3608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "AZ3608",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.