Active NPI
Erik J Smith, D.M.D.
- Pediatric Dentistry
- Elko, NV
National Provider Identifier
1548573702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- S6-127C
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL10984 | MA | |
| Pediatric Dentistry | 1223P0221X | DS039104 | PA | |
| Pediatric Dentistry | 1223P0221X | D-4560-PD | ID | |
| Pediatric Dentistry | 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
| License | State | Type | Specialty |
|---|---|---|---|
| DL10984 | MA | MD | Dentist |
| D-4560-PD | ID | MD | Pediatric Dentist |
| S6-127C | NV | MD | Pediatric Dentist |
| DS039104 | PA | MD | Pediatric Dentist |
Interoperability endpoints
- 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.