Trevor Parker Smith, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D-4351-PD Issued in ID

Practice address

370 N Haven Dr Ste 103
Twin Falls, ID 83301-6023

Phone

(208) 268-0111

Fax

(208) 268-0125

NPI assigned

Jul 3, 2008

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smith Pediatric Dentistry P.C

  • Pediatric Dentistry
  • Twin Falls, ID
  • NPI 1225838337
  NPD Authorized official

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1235392770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N HAVEN DR STE 103",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016023",
            "telephone_number": "208-268-0111",
            "fax_number": "208-268-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N HAVEN DR STE 103",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016023",
            "telephone_number": "208-268-0111",
            "fax_number": "208-268-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TREVOR",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2024-02-16",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-4351-PD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria R Smith, FNP-C
• Megan Nicole Smith, LPC
• Michael J Smith, DPT
• Richard Vaughn Smith, PH.D.
• Tomais Jed Smith, LMSW
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #35)
• Kelly Smothers, LPC, ICADC,SAP
• Snake River Ear, Nose & Throat PC
• Snake River Gastroenterology Labs, L.L.C. (Snake River Endoscopy Center)
• Snake River Medical Services, Inc.

• Pediatric Dentistry in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.