Individual provider Active NPI

Pierre M Smith, DMD

  • General Practice Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1407993322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9323 Issued in FL
Practice address
300 W Sunrise Blvd
Suite 11
Fort Lauderdale, FL 33311-6263
Phone
(954) 523-1054
Fax
(954) 525-7184
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 9323 FL Primary

Addresses

Primary practice location

300 W Sunrise Blvd
Suite 11
Fort Lauderdale, FL 33311-6263

Mailing address

300 W Sunrise Blvd
Suite 11
Fort Lauderdale, FL 33311-6263
Phone (954) 523-1054

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
9323FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407993322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SUNRISE BLVD",
            "address_2": "SUITE 11",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116263",
            "telephone_number": "954-523-1054",
            "fax_number": "954-525-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SUNRISE BLVD",
            "address_2": "SUITE 11",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116263",
            "telephone_number": "954-523-1054",
            "fax_number": "954-525-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PIERRE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.