Individual provider Active NPI

Scott P Smith, D.D.S.

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1700809902
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15368 Issued in TX
Practice address
901 Cypress Creek Rd
#203
Cedar Park, TX 78613-3998
Phone
(512) 335-8121
Fax
(512) 335-0186
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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 15368 TX Primary

Addresses

Primary practice location

901 Cypress Creek Rd
#203
Cedar Park, TX 78613-3998

Mailing address

901 Cypress Creek Rd
#203
Cedar Park, TX 78613-3998
Phone (512) 335-8121

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
I20160502002018 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517266232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15368TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Dentistry General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1700809902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CYPRESS CREEK RD",
            "address_2": "#203",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133998",
            "telephone_number": "512-335-8121",
            "fax_number": "512-335-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CYPRESS CREEK RD",
            "address_2": "#203",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133998",
            "telephone_number": "512-335-8121",
            "fax_number": "512-335-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.