Organization Active NPI

C. Douglas Smith, D.M.D.,LLC

  • General Practice Dentistry
  • Dothan, AL
National Provider Identifier
1215323803
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3365 Issued in AL
Legal business name
C. DOUGLAS SMITH, D.M.D.,LLC
Practice address
1609 W Main St Ste 202
Dothan, AL 36301-1359
Phone
(334) 793-1500
Fax
(334) 792-7647
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. C. Douglas Smith, D.M.D.
Title
Dentist
Phone
(334) 793-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3365 AL Primary

Addresses

Primary practice location

1609 W Main St Ste 202
Dothan, AL 36301-1359

Mailing address

1609 W Main St Ste 202
Dothan, AL 36301-1359
Phone (334) 793-1500

National Provider Directory

National Provider Directory

Locations

1609 W Main St
Ste 202
Dothan, AL 36301
Phone (334) 793-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1215323803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W MAIN ST STE 202",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011359",
            "telephone_number": "334-793-1500",
            "fax_number": "334-792-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W MAIN ST STE 202",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011359",
            "telephone_number": "334-793-1500",
            "fax_number": "334-792-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. DOUGLAS SMITH, D.M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "334-793-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.