Whitney Kitchell Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11417 Issued in OR

Practice address

1640 G St
Springfield, OR 97477-4226

Phone

(541) 484-2046

Fax

(541) 683-5333

NPI assigned

Jun 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Whitney Kitchell Laverty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eugene Dental Partners

  • Dentist
  • Eugene, OR
  • NPI 1750037206
  NPD
• Adh Boulder PLLC

  • General Practice Dentistry
  • Boulder, CO
  • NPI 1871440222
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1396150710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 OAKMONT WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016460",
            "telephone_number": "541-484-2046",
            "fax_number": "541-683-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774226",
            "telephone_number": "541-484-2046",
            "fax_number": "541-683-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2457 Oakmont Way",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974016460",
            "country_code": "US",
            "telephone_number": "541-484-2046 x3",
            "fax_number": "541-683-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WHITNEY",
        "middle_name": "KITCHELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012156A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN00202841",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "LAVERTY",
            "middle_name": "KITCHELL",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robyn Joy Smith, RN
• Ronald D Smith, MD
• Ryan Lee Smith, M.D.
• Tony Lavon Smith Jr.
• Valerie Smith, PA-C
• Leslie P Smoluch, M.D.
• Kiernan Davis Snedigar, QMHA, BA
• Christy Sno, P.A.-C
• Courtney Snow, DPT
• Elizabeth Snow

• Dentist in Springfield, OR
• Providers in Springfield, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.