Individual provider Active NPI

Samuel E Smiley, DDS, FAGD

  • General Practice Dentistry
  • Dublin, OH
National Provider Identifier
1447313853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17689 Issued in OH
Practice address
5156 Blazer Parkway
Dublin, OH 43017-1339
Phone
(614) 889-0726
Fax
(614) 889-8466
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17689 OH Primary

Addresses

Primary practice location

5156 Blazer Parkway
Dublin, OH 43017-1339

Mailing address

5156 Blazer Parkway
Dublin, OH 43017-1339
Phone (614) 889-0726

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

LicenseStateTypeSpecialty
17689OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smiley, Seikel & Holowicki, D.D.S., Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447313853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 BLAZER PARKWAY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171339",
            "telephone_number": "614-889-0726",
            "fax_number": "614-889-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5156 BLAZER PARKWAY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171339",
            "telephone_number": "614-889-0726",
            "fax_number": "614-889-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "SAMUEL",
        "middle_name": "E",
        "credential": "DDS, FAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • 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.