Rick Martin Smith

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

6366 Issued in AZ

Practice address

1259 N Power Rd
Suite 2
Mesa, AZ 85205-4909

Phone

(480) 832-4567

Fax

(480) 854-3869

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 2, 2018 through Oct 2, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Picasso Dental Az

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1326110024
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1396896288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 N POWER RD",
            "address_2": "SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054909",
            "telephone_number": "480-832-4567",
            "fax_number": "480-854-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 N POWER RD",
            "address_2": "SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054909",
            "telephone_number": "480-832-4567",
            "fax_number": "480-854-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICK",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "6366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Smith, PA-C
• Mylena Dashaun Smith
• Nathan Wadsworth Smith, DMD
• Quentin Smith, D.C.
• Reneau M Smith, BHT
• Ryan Patrick Smith, D.M.D.
• Sandra Smith, CCP
• Scott Louis Smith, MA, LISAC
• Shasmine Smith
• Shawn Christopher Smith, PA-C

• Prosthodontics in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Prosthodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.