Active NPI
Smith and Ingersoll, Raleigh NC, PLLC
- Dentist
- Raleigh, NC
National Provider Identifier
1417358573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5261
- Legal business name
- SMITH AND INGERSOLL, RALEIGH NC, PLLC
- Practice address
- 200 Sawmill Road
Suite 100
Raleigh, NC 27615 - Phone
- (919) 847-5283
- NPI assigned
- Sep 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacob Thomas Smith, DDS
- Title
- M
- Phone
- (919) 847-5283
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9665 | NC | |
| Dentist | 122300000X | 9695 | NC | |
| Dentist | 122300000X | 9696 | NC | |
| Dentist | 122300000X | 5261 | NC | Primary |
| Prosthodontics | 1223P0700X | 9664 | NC |
Addresses
Primary practice location
200 Sawmill Road
Suite 100
Raleigh, NC 27615
Mailing address
200 Sawmill Rd Ste 100
Raleigh, NC 27615-5275
Phone (919) 847-5283
Other names 1
- Royal Oak Dental Group at Midtown
National Provider Directory
National Provider DirectoryLocations
200 Sawmill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 847-5283
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Raleigh, NC
- NPI 1033276118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410220800000",
"number": "1417358573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SAWMILL RD STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155275",
"telephone_number": "919-847-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SAWMILL ROAD",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27615",
"telephone_number": "919-847-5283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH AND INGERSOLL, RALEIGH NC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "M",
"authorized_official_telephone_number": "919-847-5283",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "9665",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "9695",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "9696",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "5261",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "NC",
"license": "9664",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Royal Oak Dental Group at Midtown",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.