Active NPI
Richard Duff Smith, DDS
- General Practice Dentistry
- Charleston, WV
National Provider Identifier
1710085246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2243
- Practice address
- 1501 Seventh Avenue
Charleston, WV 25312 - Phone
- (304) 343-9131
- Fax
- (304) 343-2416
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2243 | WV | Primary |
Addresses
Primary practice location
1501 Seventh Avenue
Charleston, WV 25312
Mailing address
PO Box 6430
1501 Seventh Avenue
Charleston, WV 25312
Phone (304) 343-9131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136006000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2243 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Smith & Smith DDS, PLLC | Past | Accepting new patients | |
| J. Christopher Smith, D.D.S. PLLC | General Practice | Past | Accepting new patients |
Locations
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
830 Pennsylvania Ave
Ste 302
Charleston, WV 25302
Phone (304) 388-2950
415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290
Interoperability endpoints
- richard.smith.1@6401.direct.athenahealth.com
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Dentist
- Charleston, WV
- NPI 1891822185
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Practice Dentistry
- Charleston, WV
- NPI 1346671377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710085246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6430",
"address_2": "1501 SEVENTH AVENUE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25312",
"telephone_number": "304-343-9131",
"fax_number": "304-343-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SEVENTH AVENUE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25312",
"telephone_number": "304-343-9131",
"fax_number": "304-343-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RICHARD",
"middle_name": "DUFF",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "2243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136006000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.