Gabriel Smith, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

S7-119 Issued in NV

Practice address

6395 S McCarran Blvd Unit B
Reno, NV 89509-6101

Phone

(775) 823-9419

NPI assigned

Jul 18, 2012

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 CA

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.

• Callaway-Nelson Reno Smiles Dentistry, PC

  • General Practice Dentistry
  • Reno, NV
  • NPI 1023453982
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1366797144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MANCIANO WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214287",
            "telephone_number": "801-529-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 S MCCARRAN BLVD UNIT B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096101",
            "telephone_number": "775-823-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GABRIEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Heindl Smith, APRN
• Dion Smith
• Donnie Smith
• Eleana Smith
• Emily Anne Smith, MD
• Gabrielle Marie Smith, B.A.
• Holly E Smith
• Hope Smith
• Jamie Rose Smith, D.D.S.
• Jaxon Smith

• Endodontics in Reno, NV
• Providers in Reno, NV by specialty
• Endodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.