Karl Allen Smith, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401008353 Issued in VA

Practice address

2500 N Van Dorn St Ste 128
Alexandria, VA 22302-1601

Phone

(703) 894-4867

Fax

(703) 894-4869

NPI assigned

Jan 24, 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

Enrolled in VA

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

Credentials

Master of Science

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487709846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N VAN DORN ST STE 128",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021601",
            "telephone_number": "703-894-4867",
            "fax_number": "703-894-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N VAN DORN ST STE 128",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021601",
            "telephone_number": "703-894-4867",
            "fax_number": "703-894-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KARL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401008353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Daigle Smith, LCSW
• Heather Smith, PT
• Heather J Smith, LPC
• Hubert Ray Smith, DDS
• Jennifer Marta Smith, MS, CCC-SLP
• Katherine Smith
• Katherine Tucker Smith, PHD
• Kristen Smith, O.D.
• Leanne Michele Smith, RD
• Madison Smith, CPNP

• Periodontics in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Periodontics in Virginia

• 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.
• 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.