NPIMap

Organization Active NPI

J. Colby Smith, DDS, PA

  • General Practice Dentistry
  • Georgetown, TX
National Provider Identifier
1295099489
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14994 Issued in TX
Legal business name
J. COLBY SMITH, DDS, PA
Practice address
3007 Williams Dr
Georgetown, TX 78628-2778
Phone
(512) 869-2563
Fax
(512) 863-9372
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
John Colby Smith, DDS
Title
Owner
Phone
(512) 869-2563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14994 TX Primary

Addresses

Primary practice location

3007 Williams Dr
Georgetown, TX 78628-2778

Mailing address

3007 Williams Dr
Georgetown, TX 78628-2778
Phone (512) 869-2563

National Provider Directory

National Provider Directory

Locations

3007 Williams Dr
Georgetown, TX 78628
Phone (512) 869-2563

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1295099489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282778",
            "telephone_number": "512-869-2563",
            "fax_number": "512-863-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282778",
            "telephone_number": "512-869-2563",
            "fax_number": "512-863-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. COLBY SMITH, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "COLBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-869-2563",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.