Roderick David Smith, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2686 Issued in SC

Practice address

101 Standard Warehouse Rd
Lugoff, SC 29078-9670

Phone

(803) 438-3449

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Ronnetta J. P. Sartor, DMD, LLC

  • General Practice Dentistry
  • Lugoff, SC
  • NPI 1588398101

  General Practice

  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346468337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OLD FARM RD",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789376",
            "telephone_number": "803-438-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STANDARD WAREHOUSE RD",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789670",
            "telephone_number": "803-438-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RODERICK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saving Grace Counseling, LLC
• Sentinel Health Partners, PA
• Jill S Sheorn, NP
• Shooting Stars Early Intervention LLC
• Smiles Home Care
• South Carolina ENT Allergy & Sleep Medicine PA
• Sharaine Spencer
• Statewide Nursing Solutions LLC
• Jakeena Stroman, LPN
• Ayzia Taylor, APRN

• All providers in Lugoff, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.