Organization Active NPI

G Richard Smith DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dayton, OH
National Provider Identifier
1669577680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12117 Issued in OH
Legal business name
G RICHARD SMITH DDS INC
Practice address
5692 Far Hills Ave
Suite 2
Dayton, OH 45429
Phone
(937) 434-3916
Fax
(937) 434-6228
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
G Richard Smith, DDS
Title
President
Phone
(937) 434-3916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 12117 OH Primary

Addresses

Primary practice location

5692 Far Hills Ave
Suite 2
Dayton, OH 45429

Mailing address

5692 Far Hills Ave
Suite 2
Dayton, OH 45429
Phone (937) 434-3916

National Provider Directory

National Provider Directory

Locations

5692 Far Hills Ave
Ste 2
Dayton, OH 45429
Phone (937) 434-3916

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669577680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5692 FAR HILLS AVE",
            "address_2": "SUITE 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-434-3916",
            "fax_number": "937-434-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5692 FAR HILLS AVE",
            "address_2": "SUITE 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-434-3916",
            "fax_number": "937-434-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G RICHARD SMITH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-434-3916",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "12117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.