Individual provider Active NPI

Rees A Smith, D.D.S.

  • General Practice Dentistry
  • Burbank, CA
National Provider Identifier
1689895526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24344 Issued in CA
Practice address
421 E Angeleno Ave
# 201
Burbank, CA 91501-2286
Phone
(818) 841-3142
Fax
(818) 841-3343
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 24344 CA Primary

Addresses

Primary practice location

421 E Angeleno Ave
# 201
Burbank, CA 91501-2286

Mailing address

421 E Angeleno Ave
# 201
Burbank, CA 91501-2286
Phone (818) 841-3142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170104001010 CA Order and Referring Only - DentistPractitioner - Dentist 5698056703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24344CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689895526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE",
            "address_2": "# 201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "818-841-3142",
            "fax_number": "818-841-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE",
            "address_2": "# 201",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "818-841-3142",
            "fax_number": "818-841-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.