Active NPI
Eleanore Smith
- Dental Clinic/Center
- Palm Desert, CA
National Provider Identifier
1306554993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Practice address
- 74401 Hovley LN E Apt 926
Palm Desert, CA 92260-1709 - Phone
- (760) 774-7191
- NPI assigned
- Nov 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
74401 Hovley LN E Apt 926
Palm Desert, CA 92260-1709
Mailing address
74401 Hovley LN E Apt 926
Palm Desert, CA 92260-1709
Phone (760) 774-7191
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eleanoresmith@centerforautism.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1306554993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74401 HOVLEY LN E APT 926",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922601709",
"telephone_number": "760-774-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74401 HOVLEY LN E APT 926",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922601709",
"telephone_number": "760-774-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ELEANORE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eleanoresmith@centerforautism.com",
"affiliation": "N",
"address_1": "74401 Hovley Ln E Apt 926",
"city": "Palm Desert",
"state": "CA",
"country_code": "US",
"postal_code": "922601709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.