Active NPI
D Raleigh Smith DMD, PLLC
- Dentist
- Pueblo, CO
National Provider Identifier
1417624420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- D RALEIGH SMITH DMD, PLLC
- Doing business as
- Pueblo Dental
- Practice address
- 1345 S Pueblo Blvd
Pueblo, CO 81005-1508 - Phone
- (719) 542-3595
- NPI assigned
- Aug 26, 2021
- 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
- Rachel Meares
- Title
- Operations Manager
- Phone
- (719) 542-3595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1345 S Pueblo Blvd
Pueblo, CO 81005-1508
Mailing address
1345 S Pueblo Blvd
Pueblo, CO 81005-1508
Phone (719) 542-3595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740666007 | Other | INDIVIDUAL NPI (TYPE 1) |
Other names 1
- Pueblo Dental
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@mypueblodentist.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
1345 S Pueblo Blvd
Pueblo, CO 81005
Phone (623) 910-5569
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pueblo, CO
- NPI 1740666007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629936000000",
"number": "1417624420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 S PUEBLO BLVD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810051508",
"telephone_number": "719-542-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 S PUEBLO BLVD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810051508",
"telephone_number": "719-542-3595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D RALEIGH SMITH DMD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A",
"authorized_official_last_name": "MEARES",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "719-542-3595"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI (TYPE 1)",
"identifier": "1740666007",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@mypueblodentist.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1345 S Pueblo Blvd",
"city": "Pueblo",
"state": "CO",
"country_code": "US",
"postal_code": "810051508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Pueblo Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.