Active NPI
Alva M Smith, DDS
- General Practice Dentistry
- Baltimore, MD
National Provider Identifier
1326260506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12429
- Practice address
- 1253 W Pratt St
Baltimore, MD 21223 - Phone
- (410) 727-4746
- Fax
- (410) 727-6767
- NPI assigned
- May 3, 2007
- Last updated
- Jun 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12429 | MD | Primary |
Addresses
Primary practice location
1253 W Pratt St
Baltimore, MD 21223
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (719) 576-1850
Other practice location 1
7067 Baltimore Annapolis Boulevard
Glen Burnie, MD 21061
Phone (410) 859-1255
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael G Pharris OD PC | Past | Accepting new patients | |
| Ulery Dental and Orthodontics | Past | Accepting new patients | |
| Ronald B Montano DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adventure Dental and Vision
- General Practice Dentistry
- Baltimore, MD
- NPI 1629251228
-
- Dentist
- Glen Burnie, MD
- NPI 1235721903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1326260506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 E BIJOU ST STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809098009",
"telephone_number": "719-576-1850",
"fax_number": "719-955-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 W PRATT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21223",
"telephone_number": "410-727-4746",
"fax_number": "410-727-6767"
}
],
"practiceLocations": [
{
"address_1": "7067 Baltimore Annapolis Boulevard",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "21061",
"country_code": "US",
"telephone_number": "410-859-1255",
"fax_number": "410-859-1463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ALVA",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "12429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.