James Keith Smith, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011118 Issued in GA

Practice address

1777 Lee Rd
Suite D
Lithia Springs, GA 30122-3073

Phone

(770) 948-1600

Fax

(770) 948-4374

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• J. Keith Smith, D.M.D., P.C.

  • General Practice Dentistry
  • Lithia Springs, GA
  • NPI 1780892596
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669573887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 LEE RD",
            "address_2": "SUITE D",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223073",
            "telephone_number": "770-948-1600",
            "fax_number": "770-948-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 LEE RD",
            "address_2": "SUITE D",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223073",
            "telephone_number": "770-948-1600",
            "fax_number": "770-948-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Singleteary
• Latanya Elana Sloan
• Zach Slotterback, PHARMACIST
• Adria Smith
• Deanna Smith, LCSW
• Lashaia M Smith
• Mary Smith
• Miriah Smith, DPT
• Tasila Smith, BSN,RN
• Soaring Educators Inc,

• General Practice Dentistry in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.