NPIMap

Individual provider Active NPI

Dean Walter Smith, M.D.

  • Family Medicine Physician
  • Ventura, CA
National Provider Identifier
1306991930
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71909 Issued in CA
Practice address
2755 Loma Vista Rd
Ventura, CA 93003-1544
Phone
(805) 477-9922
Fax
(805) 477-9937
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A71909 CA Primary

Addresses

Primary practice location

2755 Loma Vista Rd
Ventura, CA 93003-1544

Mailing address

2755 Loma Vista Rd
Ventura, CA 93003-1544
Phone (805) 477-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000682 CA Practitioner - Family Practice 8426040858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2755 Loma Vista Rd
Ventura, CA 93003-1544
Phone (805) 477-9922

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A71909CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean W. Smith, MD., a Medical Corporation CurrentSince Aug 15, 2023 Accepting new patients
State Line Medical Group LLC Past Accepting new patients
Summit Medical Associates LLC Family Medicine Past Accepting new patients
Belton Family Practice Clinic LLC Family Medicine Past Accepting new patients
Grandview Health Care Clinic LLC Past Accepting new patients
First Med PA Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Keith a. Robertson, M.D. Apc Past Accepting new patients
Community Memorial Health System Past Accepting new patients

Locations

2755 Loma Vista Rd
Ventura, CA 93003
Phone (805) 477-9922

Organizations & group practices 10

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1306991930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031544",
            "telephone_number": "805-477-9922",
            "fax_number": "805-477-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031544",
            "telephone_number": "805-477-9922",
            "fax_number": "805-477-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEAN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.