Active NPI
Karl Smith, DDS
- Dentist
- Tacoma, WA
National Provider Identifier
1336369982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60079105
- Practice address
- 1628 S Mildred St Ste 206
Tacoma, WA 98465-1629 - Phone
- (253) 460-1800
- Fax
- (603) 310-0539
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3513 | NH | |
| Dentist | 122300000X | 21471 | MA | |
| Dentist | 122300000X | DE60079105 | WA | Primary |
Addresses
Primary practice location
1628 S Mildred St Ste 206
Tacoma, WA 98465-1629
Mailing address
1628 S Mildred St Ste 206
Tacoma, WA 98465-1629
Phone (253) 460-1800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21471 | MA | MD | Dentist |
| DE60079105 | WA | MD | Dentist |
| 3513 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baer and Nartea, DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Tacoma, WA
- NPI 1053437616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1336369982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 S MILDRED ST STE 206",
"city": "TACOMA",
"state": "WA",
"postal_code": "984651629",
"telephone_number": "253-460-1800",
"fax_number": "315-454-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 S MILDRED ST STE 206",
"city": "TACOMA",
"state": "WA",
"postal_code": "984651629",
"telephone_number": "253-460-1800",
"fax_number": "603-310-0539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KARL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "3513",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "21471",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60079105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.