Active NPI
Burton S Smith, D.D.S.
- General Practice Dentistry
- San Fernando, CA
National Provider Identifier
1447357256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16274
- Practice address
- 501 S Brand Blvd
Ste.7
San Fernando, CA 91340-4000 - Phone
- (818) 361-3137
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16274 | CA | Primary |
Addresses
Primary practice location
501 S Brand Blvd
Ste.7
San Fernando, CA 91340-4000
Mailing address
501 S Brand Blvd
Ste.7
San Fernando, CA 91340-4000
Phone (818) 361-3137
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447357256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S BRAND BLVD",
"address_2": "STE.7",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404000",
"telephone_number": "818-361-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S BRAND BLVD",
"address_2": "STE.7",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404000",
"telephone_number": "818-361-3137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BURTON",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "16274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fernando, CA
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.