Callie M Smithson, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE60790510 Issued in WA

Practice address

2743 California Ave SW Unit 200
Seattle, WA 98116-2495

Phone

(206) 519-5337

NPI assigned

Apr 14, 2014

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kang DDS & Suzuki DMD Ms El PLLC

  dba Puget Sound Periodontics

  • Periodontics
  • Federal Way, WA
  • NPI 1942943501
  NPD (past)
• Kang DDS & Suzuki DMD Ms FW PLLC

  dba Puget Sound Periodontics

  • Periodontics
  • Federal Way, WA
  • NPI 1588301428
  NPD (past)

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1215356639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 CALIFORNIA AVE SW UNIT 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 CALIFORNIA AVE SW UNIT 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162495",
            "telephone_number": "206-519-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHSON",
        "first_name": "CALLIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60790510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walston Zachary Smith, PT, DPT
• Wendy E Smith, LMHC
• Willie Lee Smith
• Matthew Langston Smitherman, MD
• Regina Smithrud, MA
• Kyle Andrew Smits, DDS
• Kirsten Elise Smock
• Jenny Smokey
• Greg Joseph Smolarz II, SUDPT
• Katharine Anna Smolinski, DO

• Endodontics in Seattle, WA
• Providers in Seattle, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.