John Graham Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0802 Issued in SD

Practice address

414 E Clark St
East Hall RM. 120
Vermillion, SD 57069-2307

Phone

(605) 677-5578

NPI assigned

May 16, 2007

Last updated

Sep 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1306053996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W RALPH ROGERS RD",
            "address_2": "APT #201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085019",
            "telephone_number": "734-507-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E CLARK ST",
            "address_2": "EAST HALL RM. 120",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692307",
            "telephone_number": "605-677-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018684",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Cerny LLC
• Emma Shaughnessy
• Melissa Ann Shefl, PA
• Justin Siemonsma, DPT
• Siouxland Dental Health- Vermillion PLLC
• Jill Smolczyk
• State of South Dakota (USD Speech & Hearing Clinic)
• Randi Stine, PA-C
• Mathias Stricherz, EDD, CCDC III, CPS
• Robin R. Svendsen, MA, LPC-MH, QMHP

• General Practice Dentistry in Vermillion, SD
• Providers in Vermillion, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.