Dean W. Smith, MD., a Medical Corporation

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

DEAN W. SMITH, MD., A MEDICAL CORPORATION

Practice address

2755 Loma Vista Rd
Ventura, CA 93003-1544

Phone

(805) 477-9922

Fax

(805) 477-9937

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Deanna S Bacon

Title

Manager

Phone

(805) 477-9922

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Dean Walter Smith, M.D.

  • Family Medicine Physician
  • Ventura, CA
  • NPI 1306991930
  Medicare reassignment NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1255112413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031544",
            "telephone_number": "805-477-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031544",
            "telephone_number": "805-477-9922",
            "fax_number": "805-477-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN W. SMITH, MD., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-477-9922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantal Anne De Silva, M.S., CCC-SLP
• Sierra De Soto
• Jerome De Vera, DO
• Leslie De Vera, PMHNP
• Caroline De Witte
• Kimberle Rusk Deanda, MA, MFT, BCBA
• Scott Deangelis, OTR/L
• James Ray Deardorff, O.D.
• Natalie Debbas, PPS
• Debon Crews, Optometric Corporation

• Adult Medicine Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.