Kimberly Mays Smith, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

019-025458 Issued in IL

Practice address

2422 Main St
Evanston, IL 60202-1548

Phone

(847) 264-9330

Fax

(618) 217-2367

NPI assigned

Nov 21, 2006

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

Practice roles

Locations

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.

• Ktsmiles, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Evanston, IL
  • NPI 1548889496
  NPD Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1235204041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021548",
            "telephone_number": "847-264-9330",
            "fax_number": "618-217-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021548",
            "telephone_number": "847-264-9330",
            "fax_number": "618-217-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "MAYS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019-025458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Michelle Smith, PA
• Becky Alison Smith, MD
• Crystal Lauren Smith, BC-DMT, LCPC
• Gail Susan Smith, MD
• India Smith, LCSW
• Kyran D Smith, MD
• Laura Anne Smith
• Lauren Smith
• Lauren A. Smith
• M. Summer Smith

• Orthodontics and Dentofacial Orthopedics Dentistry in Evanston, IL
• Providers in Evanston, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.