Roy Allen Smudde II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44365 Issued in CA

Practice address

25880 Tournament Rd Ste 103
Valencia, CA 91355-2378

Phone

(661) 259-4474

Fax

(661) 259-1371

NPI assigned

Oct 19, 2006

Sex

Male

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255413472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25880 TOURNAMENT RD STE 103",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552378",
            "telephone_number": "661-259-4474",
            "fax_number": "661-259-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25880 TOURNAMENT RD STE 103",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552378",
            "telephone_number": "661-259-4474",
            "fax_number": "661-259-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUDDE",
        "first_name": "ROY ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Irene Smith, PSYD
• Shelby Smith
• Svetlana Smith
• Francine Smock
• Kelly Katheleen Smudde, DDS
• Smyth Drive Imaging LLC
• Christian Malcolm Snead, DDS
• Linda Catherine Snow, RPH
• Keith Sobrepena
• Socal Foot & Ankle Institute

• General Practice Dentistry in Valencia, CA
• Providers in Valencia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.