Brent J Smith, M.D.

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

28765 Issued in CO

Practice address

5161 E Arapahoe Rd
Suite 350
Centennial, CO 80122-2387

Phone

(303) 741-2211

Fax

(303) 741-2453

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1568514479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "address_2": "SUITE 350",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222387",
            "telephone_number": "303-741-2211",
            "fax_number": "303-741-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "address_2": "SUITE 350",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222387",
            "telephone_number": "303-741-2211",
            "fax_number": "303-741-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CO",
            "license": "28765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C87191",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Four Professionals LLC (Comfort Dental Braces)
• Smith Agency, Inc. (Serenity Homes)
• Anna Kristine Smith, MA
• Bonnie Smith
• Bradley R. Smith, D.D.S.,M.S.
• Camille Smith
• Emma Raeann Smith
• Heather Smith
• Henry Vern Smith, DDS
• Jenise Smith, PHARM D

• Plastic Surgery Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Plastic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.