Millard Bedford Smith, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6090 Issued in NC

Practice address

501 Penny Lane
Morehead City, NC 28557

Phone

(252) 247-2258

Fax

(252) 247-7783

NPI assigned

Jan 24, 2006

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Jacksonville Children'S and Multispecialty Clinic, PA

  • Family Medicine Physician
  • Jacksonville, NC
  • NPI 1164519070
  NPD (past)
• Meadows Lutcavage Smith Vinton Fidler & Long DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Goldsboro, NC
  • NPI 1992754311
  NPD (past)
• Meadows Lutcavage Smith Vinton Fidler Long & Armstrong PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Jacksonville, NC
  • NPI 1326105933
  NPD (past)
• Meadows Lutcavage Smith Vinton Fidler Long & Armstrong PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Morehead City, NC
  • NPI 1912977802
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1437129228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PENNY LANE",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-247-2258",
            "fax_number": "252-247-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PENNY LANE",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-247-2258",
            "fax_number": "252-247-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MILLARD",
        "middle_name": "BEDFORD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "6090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "822407",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997871",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "97871",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Thigpen Smith
• Justin Norwood Smith, PA-C
• Kathryn L. Smith, MA, LPA
• Kearstyn Leigh Smith, MS
• Michael Paul Smith, LCSW
• Phyllis Christine Smith, LMFTA
• Stephen M Smith, DDS,PA
• William G Smith III, PHARMD
• Frank Henry Smolkowicz, CRNA
• Jaclyn Solomon, COTA/L

• Oral and Maxillofacial Surgery (Dentist) in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.