Eric Michael Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN00202518 Issued in CO

Practice address

308 Pagosa St #2336
Pagosa Springs, CO 81147

Phone

(970) 264-9436

NPI assigned

May 20, 2008

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Creede Dental Works PLLC

  • Dental Clinic/Center
  • Creede, CO
  • NPI 1144009689
  NPD Authorized official
• San Juan Dental LLC

  • Dental Clinic/Center
  • Pagosa Springs, CO
  • NPI 1538849955
  NPD Authorized official
• San Juan Dental Hygiene LLC

  • General Practice Dentistry
  • Pagosa Springs, CO
  • NPI 1477717387
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1396902177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2336",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811472312",
            "telephone_number": "970-264-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 PAGOSA ST #2336",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "81147",
            "telephone_number": "970-264-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2986",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00202518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Ann Shaw, PHARMD
• Sara Elizabeth Shively, PA-C
• Sleep Apnea Solutions Colorado LLC
• Smart Mobility, Inc.
• Brian Shawn Smith, CRNA
• Gary Scott Smith, MD
• Charles Soniat Dufossat III, RN
• Christine Angelica Soria, LPCC
• South West Medical Transport
• Southwest Colorado Mental Health Center Inc (Axis Health System)

• General Practice Dentistry in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.