Organization Active NPI

Smedley Orthodontics LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Downingtown, PA
National Provider Identifier
1336688712
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS017920 Issued in PA
Legal business name
SMEDLEY ORTHODONTICS LTD
Practice address
797-D East Lancaster Avenue
Downingtown, PA 19335-3315
Phone
(610) 269-6065
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Dr. Larry C Smedley
Title
President
Phone
(610) 269-6065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DS017920 PA Primary

Addresses

Primary practice location

797-D East Lancaster Avenue
Downingtown, PA 19335-3315

Mailing address

797 E Lancaster Ave # D
Downingtown, PA 19335-3315
Phone (610) 269-6065

Other identifiers 1

IdentifierTypeStateIssuer
1027671260001MedicaidPA

National Provider Directory

National Provider Directory

Locations

797 E Lancaster Ave
#D
Downingtown, PA 19335
Phone (610) 269-6065

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1336688712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 E LANCASTER AVE # D",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353315",
            "telephone_number": "610-269-6065",
            "fax_number": "610-269-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797-D EAST LANCASTER AVENUE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353315",
            "telephone_number": "610-269-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMEDLEY ORTHODONTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "SMEDLEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-269-6065",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS017920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027671260001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.