Active NPI
Christopher Jason Smith
- Oral and Maxillofacial Surgery (Dentist)
- Lancaster, PA
National Provider Identifier
1720526619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS042016
- Practice address
- 1685 Crown Ave
Lancaster, PA 17601-6322 - Phone
- (717) 481-7645
- NPI assigned
- Feb 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 18388 | MD | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401419134 | VA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS042016 | PA | Primary |
Addresses
Primary practice location
1685 Crown Ave
Lancaster, PA 17601-6322
Mailing address
327 Barnfield SQ NE
Leesburg, VA 20176-4869
Phone (661) 321-6127
Other practice location 1
1209 Ward Ave
West Chester, PA 19380-4200
Phone (610) 998-6310
Other practice location 2
45 Thomas Johnson Dr Ste 105
Frederick, MD 21702-4425
Phone (301) 200-0704
Other practice location 3
10600 Crestwood Dr
Manassas, VA 20109-3432
Phone (703) 291-1534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 16, 2026 through Mar 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18388 | MD | MD | Oral and Maxillofacial Surgery (Dentist) |
| 0401419134 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aero Dental PC | Single Specialty | Past | Accepting new patients |
| Smilebuilderz LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Lancaster, PA
- NPI 1922124767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1720526619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 BARNFIELD SQ NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764869",
"telephone_number": "661-321-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 CROWN AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016322",
"telephone_number": "717-481-7645"
}
],
"practiceLocations": [
{
"address_1": "1209 Ward Ave",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "PA",
"postal_code": "193804200",
"country_code": "US",
"telephone_number": "610-998-6310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Thomas Johnson Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024425",
"country_code": "US",
"telephone_number": "301-200-0704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10600 Crestwood Dr",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201093432",
"country_code": "US",
"telephone_number": "703-291-1534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTOPHER",
"middle_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-10",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MD",
"license": "18388",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0401419134",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS042016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.