Active NPI
Trevor Hamilton Smith, D.M.D
- General Practice Dentistry
- Pittsburgh, PA
National Provider Identifier
1619289956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- R486
- Practice address
- 4725 McKnight Rd Ste 211
Pittsburgh, PA 15237 - Phone
- (412) 366-6900
- Fax
- (412) 366-2442
- NPI assigned
- Jul 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS038356 | PA | |
| General Practice Dentistry | 1223G0001X | R486 | MN | Primary |
Addresses
Primary practice location
4725 McKnight Rd Ste 211
Pittsburgh, PA 15237
Mailing address
10405 Meinert Rd
Wexford, PA 15090-9545
Phone (814) 931-0215
Other practice location 1
2879 W Hardies Rd Ste 1
Gibsonia, PA 15044-8203
Phone (724) 444-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160113002694 | MN | Order and Referring Only - Dentist | 4789986357 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R486 | MN | MD | General Practice Dentistry |
| DS038356 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1619289956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10405 MEINERT RD",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909545",
"telephone_number": "814-931-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 MCKNIGHT RD STE 211",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15237",
"telephone_number": "412-366-6900",
"fax_number": "412-366-2442"
}
],
"practiceLocations": [
{
"address_1": "2879 W Hardies Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Gibsonia",
"state": "PA",
"postal_code": "150448203",
"country_code": "US",
"telephone_number": "724-444-8100",
"fax_number": "724-444-8104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "TREVOR",
"middle_name": "HAMILTON",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-01",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS038356",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "R486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.