Active NPI
Leonard Wilton Smith, DDS
- Oral and Maxillofacial Pathology Dentistry
- Amarillo, TX
National Provider Identifier
1376596189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 9549
- Practice address
- 1901 Medi Park
Suite 215
Amarillo, TX 79106-2110 - Phone
- (806) 353-2111
- Fax
- (806) 354-8277
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 9549 | TX | Primary |
| Periodontics | 1223P0300X | 9549 | TX |
Addresses
Primary practice location
1901 Medi Park
Suite 215
Amarillo, TX 79106-2110
Mailing address
1901 Medi Park
Ste 215
Amarillo, TX 79106-2110
Phone (806) 353-2111
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 |
|---|---|---|---|
| 9549 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1376596189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 MEDI PARK",
"address_2": "STE 215",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062110",
"telephone_number": "806-353-2111",
"fax_number": "806-354-8277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MEDI PARK",
"address_2": "SUITE 215",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062110",
"telephone_number": "806-353-2111",
"fax_number": "806-354-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LEONARD",
"middle_name": "WILTON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "TX",
"license": "9549",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "9549",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.