Wayne R. Smith, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

042071-1 Issued in NY

Practice address

656 N. Wellwood Ave
Louis Lasky Memorial Medical & Dental Center
Lindenhurst, NY 11757

Phone

(631) 225-1010

NPI assigned

Jan 15, 2010

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

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1447581392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GLENGARIFF RD.",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623022",
            "telephone_number": "516-826-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 N. WELLWOOD AVE",
            "address_2": "LOUIS LASKY MEMORIAL MEDICAL & DENTAL CENTER",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11757",
            "telephone_number": "631-225-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WAYNE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042071-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Leigh Sloane, MT-BC
• Meagan Elyse Slotnick, OT
• Nicole Antoinette Smith Allen
• Jodie Smith, DMD
• Suzanne J Smith, MD
• Erica Taylor Soccorso
• Nadia Jean Solomon, DC
• Carl Andrew Soranno, MD FAAP
• South Shore Medical Associates, PC
• Southwest Suffolk Medical PC

• Dentist in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.