Walter Haywood Smith, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

195 Issued in KY

Practice address

2505 Larkin Road
Suite 201
Lexington, KY 40503

Phone

(859) 278-6009

Fax

(859) 278-4443

NPI assigned

Oct 4, 2006

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

Other identifiers 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316033004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LARKIN ROAD",
            "address_2": "SUITE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-278-6009",
            "fax_number": "859-278-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LARKIN ROAD",
            "address_2": "SUITE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-278-6009",
            "fax_number": "859-278-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WALTER",
        "middle_name": "HAYWOOD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "4084",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "4084",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "195 PEDIATRIC DENTISTRY",
            "identifier": "STATE LICENSE NUMBER",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taneele N Smith
• Uniqua Smith, RBT
• Valerie Ann Smith, OT
• Vanessa D. Smith, MD
• Vivien Mary Smith, OD
• Wesley Smith, D.O.
• Wilburn Jackson Smith III, MD
• Yasmeen Smith
• Zachary Thomas Smith, DMD, MS
• Paula Michelle Smock, LMT

• Pediatric Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.