Individual provider Active NPI

Adam Leslie Smith, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1376774133
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27468 Issued in TX
Practice address
6035 NW Loop 410 Ste 107
San Antonio, TX 78238-3301
Phone
(210) 546-1337
NPI assigned
Jul 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 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 27468 TX Primary

Addresses

Primary practice location

6035 NW Loop 410 Ste 107
San Antonio, TX 78238-3301

Mailing address

24165 Ih 10 W Ste 217-622
San Antonio, TX 78257-1449
Phone (530) 415-5483

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
27468TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Susanville Dental Care General Practice Past Accepting new patients
Precision Smile Structure Mission General Practice Past Accepting new patients
Babcock Precision Smile PLLC General Practice PastSince Apr 24, 2022 Accepting new patients
Mission Plaza Dental PLLC General Practice Past Accepting new patients
Cruz-Perry Dental Corp General Practice PastSince Jul 9, 2025 Accepting new patients

Organizations & group practices 5

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1376774133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 IH 10 W STE 217-622",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571449",
            "telephone_number": "530-415-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 NW LOOP 410 STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383301",
            "telephone_number": "210-546-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADAM",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.