Brian Charles Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013030 Issued in MI

Practice address

711 Comings Ave
Saint Joseph, MI 49085-1942

Phone

(269) 983-4311

Fax

(269) 983-4985

NPI assigned

Mar 15, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467586263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 COMINGS AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851942",
            "telephone_number": "269-983-4311",
            "fax_number": "269-983-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COMINGS AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851942",
            "telephone_number": "269-983-4311",
            "fax_number": "269-983-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Slagor, LPC
• Tennille Slavens
• Hilary Christine Slemp, N.P.
• Stephanie Merkey Slye, PSY.D.
• Mark Smalley, DO
• Genoveve Letice Smith, MA. LLPC
• Hayden Smith
• James Walter Smith, M.D.
• Kaitlyn Smith, LMFT, LLPC, NCC
• Kortney Zoe Smith, DO

• General Practice Dentistry in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• General Practice Dentistry in Michigan

• 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.