Organization Active NPI

Smith and Emerick Family Dental LLC

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1265313043
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMITH AND EMERICK FAMILY DENTAL LLC
Practice address
876 Welcome Way SE
Salem, OR 97302-4092
Phone
(503) 363-0031
Fax
(503) 363-0827
NPI assigned
Sep 9, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Kristen Smith, DMDNPI 1023199569
Title
Owner
Phone
(503) 363-0031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

876 Welcome Way SE
Salem, OR 97302-4092

Mailing address

876 Welcome Way SE
Salem, OR 97302-4092
Phone (503) 363-0031

National Provider Directory

National Provider Directory

Locations

876 Welcome Way SE
Salem, OR 97302
Phone (503) 363-0031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1265313043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 WELCOME WAY SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024092",
            "telephone_number": "503-363-0031",
            "fax_number": "503-363-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 WELCOME WAY SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024092",
            "telephone_number": "503-363-0031",
            "fax_number": "503-363-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH AND EMERICK FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-363-0031",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.