Individual provider Active NPI

Richard Duff Smith, DDS

  • General Practice Dentistry
  • Charleston, WV
National Provider Identifier
1710085246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2243 Issued in WV
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

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 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

IdentifierTypeStateIssuer
0136006000MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031002479 WV Practitioner - Dentist 7012363823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2243WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Aug 23, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Aug 23, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.