Chad Smith, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

203034 Issued in CO

Practice address

1275 Lake Plaza Dr Ste 200
Colorado Springs, CO 80906-3515

Phone

(719) 301-1119

Fax

(719) 301-1131

NPI assigned

Jan 6, 2016

Last updated

Feb 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 24, 2016 through Feb 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Soco Endo

  • Endodontics
  • Colorado Springs, CO
  • NPI 1558806679
  NPD (past)
• Acre Wood Dental

  • Public Health Dentistry
  • Waco, TX
  • NPI 1912380650
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1619333663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 LAKE PLAZA DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063515",
            "telephone_number": "719-301-1119",
            "fax_number": "719-301-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 LAKE PLAZA DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063515",
            "telephone_number": "719-301-1119",
            "fax_number": "719-301-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "203034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candra Jordan Smith, CLD
• Carmen Ilene Smith, PT
• Caroline Smith, SWC
• Casey Smith
• Celia Smith
• Chanel Smith, RDH
• Christine Lorraine Smith, NCMMT, LMT
• Christine Marie Smith, OT
• Christopher Lee Smith, PT, DPT
• Craig M Smith

• Endodontics in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.