Taylor Smith, DDD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401416424 Issued in VA

Practice address

1620 Timberwood Blvd Ste 201
Charlottesville, VA 22911-7573

Phone

(434) 975-7336

NPI assigned

Apr 7, 2017

Last updated

Mar 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charlottesville Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Charlottesville, VA
  • NPI 1023740180
  NPD

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1457884223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 TIMBERWOOD BLVD STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TIMBERWOOD BLVD STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117573",
            "telephone_number": "434-975-7336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13123 E 16th Ave # 240",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-777-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401416424",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita P Smith, MS, RD, CDE
• Ronald Edward Smith, CRNA
• Ryan P. Smith, M.D.
• Scott A Smith, MD
• Steven C Smith, MD
• Tiffany Santavicca Smith, DPT
• Vanessa L Smith, MD
• William H Smithson, PA
• Sallie Bostick Smithwick, RN, M.AC., L.AC.
• Ethan Smolley

• Pediatric Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.