Organization Active NPI

Smith Family Dental PLLC

  • Preferred Provider Organization
  • Phoenix, AZ
National Provider Identifier
1346526233
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
D7760 Issued in AZ
Legal business name
SMITH FAMILY DENTAL PLLC
Practice address
3230 E Baseline Rd # 102
Phoenix, AZ 85042-7114
Phone
(602) 889-7835
Fax
(602) 889-7840
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Dr. David D Smith, DMDNPI 1750511739
Title
Member
Phone
(602) 889-7835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X D7760 AZ Primary

Addresses

Primary practice location

3230 E Baseline Rd # 102
Phoenix, AZ 85042-7114

Mailing address

3230 E Baseline Rd # 102
Phoenix, AZ 85042-7114
Phone (602) 889-7835

National Provider Directory

National Provider Directory

Locations

3230 E Baseline Rd
Ste 102
Phoenix, AZ 85042
Phone (602) 889-7835

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1346526233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E BASELINE RD # 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427114",
            "telephone_number": "602-889-7835",
            "fax_number": "602-889-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E BASELINE RD # 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427114",
            "telephone_number": "602-889-7835",
            "fax_number": "602-889-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-889-7835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "D7760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.