Individual provider Active NPI

David Edwin Smith, DMD

  • General Practice Dentistry
  • Nicholasville, KY
National Provider Identifier
1699043836
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5425 Issued in KY
Practice address
938 South Main Street
Nicholasville, KY 40356-0272
Phone
(859) 887-4008
Fax
(859) 885-6212
NPI assigned
Dec 2, 2011
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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 5425 KY Primary

Addresses

Primary practice location

938 South Main Street
Nicholasville, KY 40356-0272

Mailing address

938 South Main Street
PO Box 277
Nicholasville, KY 40340-0272
Phone (859) 887-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150731017105 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901110121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David E Smith DMD PSC Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1699043836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 SOUTH MAIN STREET",
            "address_2": "PO BOX 277",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403400272",
            "telephone_number": "859-887-4008",
            "fax_number": "859-885-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 SOUTH MAIN STREET",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403560272",
            "telephone_number": "859-887-4008",
            "fax_number": "859-885-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.