Active NPI
Taylor Smith, FNP-C
- Oral & Maxillofacial Surgery (D.M.D.)
- Grand Rapids, MI
National Provider Identifier
1659298594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 4704358825
- Practice address
- 3267 N Evergreen Dr NE
Grand Rapids, MI 49525 - Phone
- (616) 217-3632
- NPI assigned
- Jul 1, 2026
- Last updated
- Jul 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 4704358825 | MI | Primary |
Addresses
Primary practice location
3267 N Evergreen Dr NE
Grand Rapids, MI 49525
Mailing address
6450 Estate Dr SW
Byron Center, MI 49315-9617
Phone (616) 217-3632
Other practice location 1
2119 64th St SW
Byron Center, MI 49315-9409
Phone (616) 217-3632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704358825 | MI | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1659298594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 ESTATE DR SW",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493159617",
"telephone_number": "616-217-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3267 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49525",
"telephone_number": "616-217-3632"
}
],
"practiceLocations": [
{
"address_1": "2119 64th St SW",
"address_purpose": "LOCATION",
"city": "Byron Center",
"state": "MI",
"postal_code": "493159409",
"country_code": "US",
"telephone_number": "616-217-3632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "TAYLOR",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-01",
"last_updated": "2026-07-01",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MI",
"license": "4704358825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.