Organization Active NPI

Carlos Smith DMD PA

  • Dentist
  • West Columbia, SC
National Provider Identifier
1487876090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1770 Issued in SC
Legal business name
CARLOS SMITH DMD PA
Practice address
3244 Sunset Blvd.
West Columbia, SC 29168-3428
Phone
(803) 794-0146
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Carlos Smith Jr., DMD
Title
President
Phone
(803) 359-2488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1770 SC Primary

Addresses

Primary practice location

3244 Sunset Blvd.
West Columbia, SC 29168-3428

Mailing address

3244 Sunset Blvd.
West Columbia, SC 29168-3428
Phone (803) 794-0146

National Provider Directory

National Provider Directory

Locations

3244 Sunset Blvd
West Columbia, SC 29169
Phone (803) 794-0146

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487876090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 SUNSET BLVD.",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291683428",
            "telephone_number": "803-794-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 SUNSET BLVD.",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291683428",
            "telephone_number": "803-794-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS SMITH DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-359-2488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "1770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.