Craig Van Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17679 Issued in TX

Practice address

516 W Main St
Waxahachie, TX 75165-3275

Phone

(972) 937-1841

NPI assigned

Dec 19, 2011

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

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.

• Main St Dental Arts PC

  • Dentist
  • Waxahachie, TX
  • NPI 1427102532
  NPD (past) Authorized official

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1295004307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W MAIN ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653275",
            "telephone_number": "972-937-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W MAIN ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653275",
            "telephone_number": "972-937-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRAIG",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Skelton, DC
• Madison Elizabeth Skelton, PA-C
• Skinner Psychological Services, LLC
• John Robert Skinner Jr., PHD
• Kristina Diane Slate, LPC-S
• Daphne Smith, RN, CPNP-PC
• Erin T Smith
• Judith A Smith
• Luke Michael Smith
• Randy J. Smith, PHD

• General Practice Dentistry in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.