Alexaundrea Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106628 Issued in CA

Practice address

5831 Overhill Dr
Windsor Hills, CA 90043-2715

Phone

(310) 916-4028

NPI assigned

Jul 19, 2019

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alexaundrea Smith D.D.S., Inc.

  dba Overhill Dental

  • Dentist
  • Los Angeles, CA
  • NPI 1033872189
  NPD Authorized official
• J. Whitley Dental Corporation

  • General Practice Dentistry
  • Downey, CA
  • NPI 1013218106
  NPD (past)
• Muskogee Dental Group, Inc.

  • Dentist
  • Muskogee, OK
  • NPI 1548526106
  NPD (past)
• Spring Dental Muskogee, PLLC

  dba Spring Dental

  • General Practice Dentistry
  • Muskogee, OK
  • NPI 1780127969
  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1629621610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 OVERHILL DR",
            "city": "WINDSOR HILLS",
            "state": "CA",
            "postal_code": "900432715",
            "telephone_number": "323-296-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 OVERHILL DR",
            "city": "WINDSOR HILLS",
            "state": "CA",
            "postal_code": "900432715",
            "telephone_number": "310-916-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2909 Azalea Park Dr",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744012283",
            "country_code": "US",
            "telephone_number": "918-682-0544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4428 Slauson Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "CA",
            "postal_code": "90270",
            "country_code": "US",
            "telephone_number": "323-773-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXAUNDREA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7221",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Anderson
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• Alani Price, MPH, CHES

• General Practice Dentistry in Windsor Hills, CA
• Providers in Windsor Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.