Sydney Smith

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011872 Issued in AZ

Practice address

41620 W Maricopa Casa Grande Hwy Ste 110
Maricopa, AZ 85138-3217

Phone

(520) 568-2800

NPI assigned

Jun 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Maricopa Smiles Dentistry and Orthodontics, LLP

  • Dentist
  • Irvine, CA
  • NPI 1619212651
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1437836640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E JUANITA AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342133",
            "telephone_number": "317-341-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41620 W MARICOPA CASA GRANDE HWY STE 110",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851383217",
            "telephone_number": "520-568-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Lynn Smith, LPN
• Jimmy Smith
• Joyce Denise Smith, C.N.A., C.C.G., ALM
• Kierra Laquesha Smith
• Shannon L Smith, PHARMD
• Veverly Elaine Smith, APRN
• Smiths Food & Drug Centers Inc
• So Vein
• Solace Place, LLC
• Rajan Kartan Solanki

• General Practice Dentistry in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.