Individual provider Active NPI

Brady Kent Smith, D.D.S.

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1659418374
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14695 Issued in TX
Practice address
4301 N Macarthur Blvd
Suite 100
Irving, TX 75038-6416
Phone
(972) 255-3712
Fax
(972) 255-5693
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14695 TX Primary

Addresses

Primary practice location

4301 N Macarthur Blvd
Suite 100
Irving, TX 75038-6416

Mailing address

3800 Gaylord Pkwy Ste 1190
Frisco, TX 75034-9418
Phone (844) 409-4657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140721001221 TX Practitioner - Oral Surgery 4183894470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14695TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
B Kent Smith DDS PA CurrentSince Jul 15, 2011 Accepting new patients
B Kent Smith DDS PA CurrentSince Aug 4, 2014 Accepting new patients
B Kent Smith DDS PA Past Accepting new patients
B Kent Smith DDS PA Past Accepting new patients
B Kent Smith DDS PA Past Accepting new patients
B Kent Smith DDS PA Past Accepting new patients
Brady Medical Group PLLC PastSince Jun 1, 2023 Accepting new patients
B Kent Smith DDS PA Past Accepting new patients
B Kent Smith DDS PA Past Accepting new patients
B Kent Smith DDS PA Past Accepting new patients
B Kent Smith DDS PA General Practice Past Accepting new patients
B Kent Smith DDS PA Past Accepting new patients
B Kent Smith DDS PA General Practice Past Accepting new patients

Locations

3800 Gaylord Pkwy
Ste 1190
Frisco, TX 75034
Phone (214) 919-3862

7589 Preston Rd
Ste 400
Frisco, TX 75034
Phone (469) 240-6331

290 E John Carpenter Fwy
Ste 2700
Irving, TX 75062
Phone (806) 773-2840

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1659418374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 1190",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349418",
            "telephone_number": "844-409-4657",
            "fax_number": "214-614-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MACARTHUR BLVD",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386416",
            "telephone_number": "972-255-3712",
            "fax_number": "972-255-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-05-25",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.