Individual provider Active NPI

Gaylia Chavis Smith, DDS

  • General Practice Dentistry
  • Gibsonville, NC
National Provider Identifier
1588875736
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8401 Issued in NC
Practice address
408 Burlington Ave
Gibsonville, NC 27249-2865
Phone
(336) 449-6423
Fax
(336) 449-9200
NPI assigned
May 26, 2007
Last updated
Jan 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 8401 NC Primary

Addresses

Primary practice location

408 Burlington Ave
Gibsonville, NC 27249-2865

Mailing address

408 Burlington Ave
P. O. Box 198
Gibsonville, NC 27249-2865
Phone (336) 449-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328000272 NC Order and Referring Only - DentistPractitioner - Dentist 9335446947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8401NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaylia C. Smith, DDS PA Past Accepting new patients
Kirby J. Ransom DMD PA II General Practice Past Accepting new patients

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": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1588875736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BURLINGTON AVE",
            "address_2": "P. O. BOX 198",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272492865",
            "telephone_number": "336-449-6423",
            "fax_number": "336-449-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BURLINGTON AVE",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272492865",
            "telephone_number": "336-449-6423",
            "fax_number": "336-449-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GAYLIA",
        "middle_name": "CHAVIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonville, NC

Sources for this page

Verify at the official NPI Registry.