Organization Active NPI

Smith, Ogletree, Smith General Partnership

  • General Practice Dentistry
  • Tyler, TX
National Provider Identifier
1508175456
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12502 Issued in TX
Legal business name
SMITH, OGLETREE, SMITH GENERAL PARTNERSHIP
Practice address
5400 New Copeland Rd
Tyler, TX 75703-3950
Phone
(903) 534-1171
Fax
(903) 534-6054
NPI assigned
Sep 27, 2010
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Dr. Roy R. Smith, DDSNPI 1144379819
Title
General Partner
Phone
(903) 534-1171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12502 TX Primary

Addresses

Primary practice location

5400 New Copeland Rd
Tyler, TX 75703-3950

Mailing address

5400 New Copeland Rd
Tyler, TX 75703-3950
Phone (903) 534-1171

National Provider Directory

National Provider Directory

Locations

5400 New Copeland Rd
Tyler, TX 75703
Phone (903) 534-1171

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1508175456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033950",
            "telephone_number": "903-534-1171",
            "fax_number": "903-534-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033950",
            "telephone_number": "903-534-1171",
            "fax_number": "903-534-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH, OGLETREE, SMITH GENERAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "903-534-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.