Gregory Rogers Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012321 Issued in MI

Practice address

1617 E Milham Ave
Portage, MI 49002-3049

Phone

(269) 381-7770

Fax

(269) 381-7790

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Wind Family &Cosmetic Denistry

  • General Practice Dentistry
  • Portage, MI
  • NPI 1164642906
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538389358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 OAKDALE",
            "city": "HICKORY CORNERS",
            "state": "MI",
            "postal_code": "490609318",
            "telephone_number": "269-671-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023049",
            "telephone_number": "269-381-7770",
            "fax_number": "269-381-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "ROGERS",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "012321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel A Small
• Benjamin A Smith, DPT
• Beth Smith, RD
• Debra Lynn Smith
• Faye Corinne Smith
• Jean Marie Smith, P.T.
• John D Smith, DC
• Kassandra A Smith
• Madison Jo Smith
• Michelle Lavern Smith, O.T.

• General Practice Dentistry in Portage, MI
• Providers in Portage, 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.