Matthew Thomas Smidt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12808 Issued in NC

Practice address

4291 School House CMNS
Harrisburg, NC 28075-7503

Phone

(704) 456-9611

NPI assigned

Jun 7, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• K. Jasinski, D.M.D., P.C.

  • General Practice Dentistry
  • Concord, NC
  • NPI 1245820828
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1689303471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 MCCLINTOCK RD APT 2418",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055398",
            "telephone_number": "631-375-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4291 SCHOOL HOUSE CMNS",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757503",
            "telephone_number": "704-456-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIDT",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathanael Stephen Shaw, D.D.S.
• Shadia Natour Sheikh, PT, DPT
• Morgan O'Neal Siebs, MD
• Signature Transportation
• Silent Sleep Solutions LLC
• Smith Care LLC
• Anne K Smith, MS, RD, LDN
• Duane Smith, MA LPC
• Natika Ruth Smith
• Sandra Smith, CEO

• General Practice Dentistry in Harrisburg, NC
• Providers in Harrisburg, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.