Valerie Anne Smith, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

21803 Issued in MA

Practice address

100 Copeland Dr
Unit 3
Mansfield, MA 02048-1245

Phone

(508) 543-9292

Fax

(508) 339-1919

NPI assigned

May 24, 2005

Sex

Female

Sole proprietor

Yes

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 MA

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.

• Mansfield Periodontics and Dental Implants, PLLC

  • Dental Clinic/Center
  • Mansfield, MA
  • NPI 1194260588
  NPD (past) Authorized official

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1457354425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COPELAND DR",
            "address_2": "UNIT 3",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481245",
            "telephone_number": "508-543-9292",
            "fax_number": "508-339-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COPELAND DR",
            "address_2": "UNIT 3",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481245",
            "telephone_number": "508-543-9292",
            "fax_number": "508-339-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VALERIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "21803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Silva
• Allison Simmons, MA, LMHC
• Alan Donald Sirota, PHD
• Debra Joyce Sirota, MSW LICSW
• Daniel Michael Slavsky, DMD
• Soundminds Psychiatry LLC (Soundminds Psychiatry)
• Steven A. Sousa, D.M.D.
• Melissa Morgan Southworth, LICSW
• Spine & Sport Rehab Center LLC
• Spine and Sports Physical Therapy LLC

• Periodontics in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.