Active NPI
Adam Christopher Smigiel, D.D.S.
- Dentist
- Charlotte, NC
National Provider Identifier
1417449893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11013
- Practice address
- 13551 Steelecroft Pkwy Ste 130
Charlotte, NC 28278-7564 - Phone
- (704) 247-6770
- NPI assigned
- Jun 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11013 | NC | Primary |
Addresses
Primary practice location
13551 Steelecroft Pkwy Ste 130
Charlotte, NC 28278-7564
Mailing address
13551 Steelecroft Pkwy Ste 130
Charlotte, NC 28278-7564
Phone (704) 247-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85-3959254 | Other | EINS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | contactus@westcharlottedental.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11013 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1417449893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13551 STEELECROFT PKWY STE 130",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787564",
"telephone_number": "704-247-6770",
"fax_number": "704-313-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13551 STEELECROFT PKWY STE 130",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787564",
"telephone_number": "704-247-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMIGIEL",
"first_name": "ADAM",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-01",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EINS",
"identifier": "85-3959254",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "contactus@westcharlottedental.com",
"affiliation": "N",
"address_1": "13551 Steelecroft Pkwy Ste 130",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282787564",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.