Individual provider Active NPI

Stanford D Smith, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1346978376
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38902 Issued in TX
Practice address
8222 Bruton Rd
Dallas, TX 75217-1902
Phone
(214) 398-1234
NPI assigned
Aug 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38902 TX Primary

Addresses

Primary practice location

8222 Bruton Rd
Dallas, TX 75217-1902

Mailing address

938 E Highway 67
Duncanville, TX 75137-2706
Phone (972) 572-5990

Other practice location 1

938 E Highway 67
Duncanville, TX 75137-2706
Phone (972) 572-5990

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38902TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Delite PG PA General Practice CurrentSince Aug 14, 2022 Accepting new patients
Dental Delite of Duncanville PastSince Aug 14, 2022 Accepting new patients

Locations

8222 Bruton Rd
Dallas, TX 75217
Phone (214) 398-1234

938 E Highway 67
Duncanville, TX 75137
Phone (972) 572-5990

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1346978376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 E HIGHWAY 67",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751372706",
            "telephone_number": "972-572-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 BRUTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171902",
            "telephone_number": "214-398-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "938 E Highway 67",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751372706",
            "country_code": "US",
            "telephone_number": "972-572-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STANFORD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.