Active NPI
Laurie Smalley, RDH
- Dental Hygienist
- Jackson, CA
National Provider Identifier
1720975907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 14446
- Practice address
- 12150 New York Ranch Rd
Jackson, CA 95642-9407 - Phone
- (209) 257-2460
- Fax
- (209) 257-2464
- NPI assigned
- Jun 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 14446 | CA | Primary |
Addresses
Primary practice location
12150 New York Ranch Rd
Jackson, CA 95642-9407
Mailing address
PO Box 939
Angels Camp, CA 95222-0939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14446 | CA | MD | Speech-Language Pathologist |
Interoperability endpoints
- laurie.smalley.p1@direct.macthealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1720975907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 939",
"city": "ANGELS CAMP",
"state": "CA",
"postal_code": "952220939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12150 NEW YORK RANCH RD",
"city": "JACKSON",
"state": "CA",
"postal_code": "956429407",
"telephone_number": "209-257-2460",
"fax_number": "209-257-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLEY",
"first_name": "LAURIE",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "14446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.