Edward Reynolds Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4021 Issued in WV

Practice address

1200 W Washington St
Harpers Ferry, WV 25425-6300

Phone

(304) 535-2409

NPI assigned

Jul 26, 2012

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

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr Emily J Mayhew and Dr Edward Smith, Inc

  • General Practice Dentistry
  • Harpers Ferry, WV
  • NPI 1629122866
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1275889362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254250200",
            "telephone_number": "304-535-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WASHINGTON ST",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254256300",
            "telephone_number": "304-535-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWARD",
        "middle_name": "REYNOLDS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Sheard, BCPA
• Alexander Youngjoon Shin, MD
• Afsoun Sichani
• Heidi Carter Simmons, MSPT
• Belinda E Smith, MA, LCPC
• Eleanor A Smith, M.D.
• Danielle Nicole Stevens
• Michael Shawn Stockman, CRNP
• Andrew Sulistio, MD
• Megan Sullivan

• General Practice Dentistry in Harpers Ferry, WV
• Providers in Harpers Ferry, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.