Individual provider Active NPI

Darryl Roger Smith, DDS

  • General Practice Dentistry
  • Swampscott, MA
National Provider Identifier
1558382291
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17422 Issued in MA
Practice address
26 Puritan Rd
Swampscott, MA 01907-2726
Phone
(781) 592-1620
Fax
(781) 592-1625
NPI assigned
Jul 21, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17422 MA Primary

Addresses

Primary practice location

26 Puritan Rd
Swampscott, MA 01907-2726

Mailing address

26 Puritan Rd
Swampscott, MA 01907-2726
Phone (781) 592-1620

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
17422MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Tano Dental Group, PLLP General Practice CurrentSince Dec 28, 2022 Accepting new patients
Darryl R. Smith D.D.S. General Practice Past Accepting new patients

Locations

26 Puritan Rd
Swampscott, MA 01907
Phone (781) 592-1620

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1558382291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PURITAN RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072726",
            "telephone_number": "781-592-1620",
            "fax_number": "781-592-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PURITAN RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072726",
            "telephone_number": "781-592-1620",
            "fax_number": "781-592-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DARRYL",
        "middle_name": "ROGER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.