Active NPI
Alexander Smith, D.D.S.
- General Practice Dentistry
- Bethesda, MD
National Provider Identifier
1356308910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5X412343
- Practice address
- 8955 Wood Rd
Bethesda, MD 20889-5001 - Phone
- (301) 395-9515
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5X412343 | NY | Primary |
Addresses
Primary practice location
8955 Wood Rd
Bethesda, MD 20889-5001
Mailing address
4835 Cordell Ave Apt 1209
Bethesda, MD 20814-3173
Phone (301) 395-9515
Other practice location 1
1 Jarrett White Rd
ATTN: Credentials Office
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-1021
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5X412343 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1356308910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 CORDELL AVE APT 1209",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143173",
"telephone_number": "301-395-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8955 WOOD RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895001",
"telephone_number": "301-395-9515"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_2": "ATTN: Credentials Office",
"address_purpose": "LOCATION",
"city": "Tripler Army Medical Center",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-1021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "5X412343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.