Meghan Marie Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2247 Issued in ND

Practice address

1338 Gateway Dr S
Fargo, ND 58103-3512

Phone

(701) 232-1664

NPI assigned

Jun 8, 2010

Last updated

Jul 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Meghan Marie Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eaton Dental, PLLC

  dba Valley Dental

  • Dental Clinic/Center
  • Fargo, ND
  • NPI 1093190829
  NPD (past) Authorized official
• Valley Dental Center, PC

  • Dentist
  • Fargo, ND
  • NPI 1790889897
  NPD (past)

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1336469725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 GATEWAY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033512",
            "telephone_number": "701-232-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 GATEWAY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033512",
            "telephone_number": "701-232-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEGHAN",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2247",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathrine Ann Smith, LCSW
• Kathy Marie Smith, L.I.C.S.W
• Kelly Craghill Fagerburg Smith, PSYD
• Kimberly Joan Smith, M.S.
• Matthew Lynn Smith, RN, BSN, MS, CRNA
• Rylee Smith
• Sarah Fidele Smith
• Seth Smith, OD
• Sharon E Smith
• Shelly Smith

• Dentist in Fargo, ND
• Providers in Fargo, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.