Individual provider Active NPI

Erik J Smith, D.M.D.

  • Pediatric Dentistry
  • Elko, NV
National Provider Identifier
1548573702
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
S6-127C Issued in NV
Practice address
2578 Idaho St
Elko, NV 89801-4601
Phone
(775) 299-4790
Fax
(757) 738-0495
NPI assigned
Jul 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL10984 MA
Pediatric Dentistry 1223P0221X DS039104 PA
Pediatric Dentistry 1223P0221X D-4560-PD ID
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X S6-127C NV Primary

Addresses

Primary practice location

2578 Idaho St
Elko, NV 89801-4601

Mailing address

29 Warren Ave
Mansfield, MA 02048-1328
Phone (774) 284-4589

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

LicenseStateTypeSpecialty
DL10984MAMDDentist
D-4560-PDIDMDPediatric Dentist
S6-127CNVMDPediatric Dentist
DS039104PAMDPediatric Dentist

Interoperability endpoints

  • Direct secure messaging: erik.smith.p2@direct.elkochc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1548573702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WARREN AVE",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481328",
            "telephone_number": "774-284-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014601",
            "telephone_number": "775-299-4790",
            "fax_number": "757-738-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL10984",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS039104",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-4560-PD",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-127C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.