Mary H Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

43068 Issued in CA

Practice address

1 Bates Blvd Ste 210
Orinda, CA 94563-2800

Phone

(925) 254-0824

Fax

(925) 254-0831

NPI assigned

Sep 7, 2006

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Interoperability endpoints

• Direct secure messaging: mary@maryhsmithdds.com

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1396849758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BATES BLVD STE 210",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632800",
            "telephone_number": "925-254-0824",
            "fax_number": "925-254-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BATES BLVD STE 210",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632800",
            "telephone_number": "925-254-0824",
            "fax_number": "925-254-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary@maryhsmithdds.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Bates Blvd Ste 210",
            "city": "Orinda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945632800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gwenn Silva, MFT
• Aliyah Simcoff, LCSW
• Michelle Branchaud Simi, M.D.
• Deborah Simon, PH.D.
• Candia Kathryn Smith, DMH
• Susan Snyder, PH.D.
• Carly Spagnola, AMFT
• Rebecca Spalding
• Elena Stan
• Natalie Louise Steffen, LEP, M.ED.

• Dentist in Orinda, CA
• Providers in Orinda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.