Cicely Brooke Smith, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

62399 Issued in CA

Practice address

1300 S Eliseo Dr
Suite 100
Greenbrae, CA 94904-2023

Phone

(415) 461-0414

NPI assigned

Jun 26, 2013

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

State licenses

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1225478936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 SHERWOOD DR",
            "address_2": "APT. 3",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S ELISEO DR",
            "address_2": "SUITE 100",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042023",
            "telephone_number": "415-461-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CICELY",
        "middle_name": "BROOKE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "62399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharleen Sidhu, M.D
• Alexandra Beatriz Siliezar, MFT
• Jessica Lynn Simkins, R.D.
• Saloni Singh, MD
• Diane Lynne Slager, PSY.D.
• Elizabeth Marshall Smith, MD
• Janeen Smith, M.D.
• Peter Mark Smith, M.D.
• Sae H. Sohn, M.D.
• Andrew E Solomon

• Pediatric Dentistry in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.