Individual provider Active NPI

Christopher Jason Smith

  • Oral and Maxillofacial Surgery (Dentist)
  • Lancaster, PA
National Provider Identifier
1720526619
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS042016 Issued in PA
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

Updated by the provider on Oct 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 18388 MD
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401419134 VA
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
18388MDMDOral and Maxillofacial Surgery (Dentist)
0401419134VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Aero Dental PC Single Specialty PastSince Dec 18, 2022 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.

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

Verify at the official NPI Registry.