Shelby J. Smith, DDS, Ms, a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

38482 Issued in CA

Legal business name

SHELBY J. SMITH, DDS, MS, A PROFESSIONAL CORPORATION

Practice address

2213 Buchanan Rd Ste 112
Antioch, CA 94509-4265

Phone

(925) 755-5115

Fax

(925) 755-5003

NPI assigned

Jun 16, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shelby J Smith, DDS, MSNPI 1700882784

Title

President

Phone

(925) 755-5115

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelby J. Smith, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Antioch, CA
  • NPI 1700882784
  NPD (past) Authorized official

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1376703066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 BUCHANAN RD STE 112",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094265",
            "telephone_number": "925-755-5115",
            "fax_number": "925-755-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 BUCHANAN RD STE 112",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094265",
            "telephone_number": "925-755-5115",
            "fax_number": "925-755-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY J. SMITH, DDS, MS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-755-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahar Sharifzie
• Nathan Shaver
• Tyana Shaw
• Sheffield and Le Orthodontics
• Robert E Sheffield, DDS
• Nicole Kathryn Shelton, M.D.
• Ananth Shenoy, M.D.
• Morgan Richard Shepherd, MFTI
• James Chung Shieh, M.D
• Weilin Shih Huang, DDS

• Dental Clinic/Center in Antioch, CA
• Providers in Antioch, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.