Active NPI
Carol Smith, DDS
- Periodontics
- Sun City West, AZ
National Provider Identifier
1477649580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 4627
- Practice address
- 13925 W Meeker Blvd
Sun City West, AZ 85375-4430 - Phone
- (623) 556-5006
- Fax
- (623) 556-5564
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 4627 | AZ | Primary |
Addresses
Primary practice location
13925 W Meeker Blvd
Sun City West, AZ 85375-4430
Mailing address
6377 W Irma LN
Glendale, AZ 85308-6611
Phone (623) 572-1381
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4627 | AZ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477649580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6377 W IRMA LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086611",
"telephone_number": "623-572-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13925 W MEEKER BLVD",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853754430",
"telephone_number": "623-556-5006",
"fax_number": "623-556-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CAROL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AZ",
"license": "4627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City West, AZ
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.