Individual provider Active NPI

Carmen Princele Smith, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1699714196
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18888 Issued in TX
Practice address
9310 Forest LN
Suite 338
Dallas, TX 75243-4219
Phone
(214) 503-6776
Fax
(214) 503-6733
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 18888 TX Primary

Addresses

Primary practice location

9310 Forest LN
Suite 338
Dallas, TX 75243-4219

Mailing address

9310 Forest LN
Suite 338
Dallas, TX 75243-4219
Phone (214) 503-6776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160317000129 TX Order and Referring Only - DentistPractitioner - Dentist 5698071637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18888TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699714196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 FOREST LN",
            "address_2": "SUITE 338",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434219",
            "telephone_number": "214-503-6776",
            "fax_number": "214-503-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 FOREST LN",
            "address_2": "SUITE 338",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434219",
            "telephone_number": "214-503-6776",
            "fax_number": "214-503-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARMEN",
        "middle_name": "PRINCELE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.