Vincent Cole Smith

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

25034 Issued in CA

Practice address

3687 Las Posas Rd
Dos Caminos Plaza
Camarillo, CA 93010-1482

Phone

(805) 484-2705

Fax

(805) 484-5908

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vince Smith Other name

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 and National Provider Directory roles.

• Camarillo Childrens Dental Group

  • Pediatric Dentistry
  • Camarillo, CA
  • NPI 1306967567
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427100858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD",
            "address_2": "DOS CAMINOS PLAZA",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101482",
            "telephone_number": "805-484-2705",
            "fax_number": "805-484-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD",
            "address_2": "DOS CAMINOS PLAZA",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101482",
            "telephone_number": "805-484-2705",
            "fax_number": "805-484-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VINCENT",
        "middle_name": "COLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "25034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINCE",
            "last_name": "SMITH",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lacey Chrystal Smith, MS, MSOT, OTR/L
• Michelle Ann Smith
• Shelby Smith
• Sherie Rachelle Smith
• Tristan M Smith, LMFT
• Taryn Elise Smythe, B.A.
• Nicole Snider
• Saiannice M Soares-Concepcion
• Kathryn Aniela Socha, MA, BCBA
• Ashley Soebbing

• Orthodontics and Dentofacial Orthopedics Dentistry in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• 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.