Active NPI
Smurthwaite DDS PC
- Dental Clinic/Center
- Roseville, CA
National Provider Identifier
1639050651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Roseville |
National Provider Directory
National Provider DirectoryLocations
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.