Individual provider Active NPI

Kyle Matthew Smith, D.D.S.

  • General Practice Dentistry
  • Greenville, TX
National Provider Identifier
1598966863
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22231 Issued in TX
Practice address
4818 Wellington St
Suite 3
Greenville, TX 75402-6010
Phone
(903) 455-5750
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 22231 TX Primary

Addresses

Primary practice location

4818 Wellington St
Suite 3
Greenville, TX 75402-6010

Mailing address

3 Morgan LN
Greenville, TX 75402-6913

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
22231TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle M. Smith, D.D.S., P.a. General Practice CurrentSince Sep 12, 2021 Accepting new patients
Kyle M. Smith, D.D.S., P.a. General Practice Current Accepting new patients
Dental Snoring and Apnea Clinic LLC Past Accepting new patients

Locations

4818 Wellington St
Ste 3
Greenville, TX 75402
Phone (903) 455-0516

8751 Collin McKinney Pkwy
Ste 1502
McKinney, TX 75070
Phone (214) 592-8042

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23685/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598966863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MORGAN LN",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 WELLINGTON ST",
            "address_2": "SUITE 3",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026010",
            "telephone_number": "903-455-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.