Active NPI
Douglas L Smith, DDS, PC
- Dental Clinic/Center
- Gilbert, AZ
National Provider Identifier
1215139563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 3608
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ3608 | Other | AZ | DENTAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.