Organization Active NPI

Smurthwaite DDS PC

  • Dental Clinic/Center
  • Roseville, CA
National Provider Identifier
1639050651
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMURTHWAITE DDS PC
Practice address
927 Reserve Dr
Roseville, CA 95678-1383
Phone
(916) 797-8511
Fax
(916) 797-8508
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Mercedes Figueroa
Title
Credentialing Specialist
Phone
(623) 289-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

927 Reserve Dr
Roseville, CA 95678-1383

Mailing address

19601 N Black Canyon Hwy Ste 201
Phoenix, AZ 85027-4107
Phone (623) 439-2280

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Roseville

National Provider Directory

National Provider Directory

Locations

927 Reserve Dr
Roseville, CA 95678
Phone (916) 797-8511

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1639050651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19601 N BLACK CANYON HWY STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274107",
            "telephone_number": "623-439-2280",
            "fax_number": "623-289-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 RESERVE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781383",
            "telephone_number": "916-797-8511",
            "fax_number": "916-797-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMURTHWAITE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "623-289-3392"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Roseville",
            "affiliation": "N",
            "address_1": "927 Reserve Dr",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956781383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.