Individual provider Active NPI

Craig C Smith, D.D.S.

  • Endodontics
  • Salt Lake City, UT
National Provider Identifier
1598806648
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
316100 Issued in UT
Practice address
5373 S Green St
4TH Floor
Salt Lake City, UT 84123-4680
Phone
(801) 313-7097
Fax
(801) 290-5136
NPI assigned
Feb 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 316100 UT Primary

Addresses

Primary practice location

5373 S Green St
4TH Floor
Salt Lake City, UT 84123-4680

Mailing address

5373 S Green St
4TH Floor
Salt Lake City, UT 84123-4680
Phone (801) 313-7097

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
316100UTMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1598806648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 S GREEN ST",
            "address_2": "4TH FLOOR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841234680",
            "telephone_number": "801-313-7097",
            "fax_number": "801-290-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 S GREEN ST",
            "address_2": "4TH FLOOR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841234680",
            "telephone_number": "801-313-7097",
            "fax_number": "801-290-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRAIG",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "UT",
            "license": "316100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.