Brandon Smith, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4175 Issued in WV

Practice address

22 Sierra Dr
Martinsburg, WV 25403-1133

Phone

(304) 263-3131

NPI assigned

Jul 29, 2015

Last updated

Jul 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 20, 2020 through Aug 20, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tuscarora Dentistry PLLC

  dba Tuscarora Family Dental Care

  • Dental Clinic/Center
  • Martinsburg, WV
  • NPI 1588178479
  Authorized official Same address or phone
• Randolph Evans Family Dentistry

  • Dental Clinic/Center
  • Martinsburg, WV
  • NPI 1356725428
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1740665892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LITCHFIELD LN E",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254059644",
            "telephone_number": "304-203-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SIERRA DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031133",
            "telephone_number": "304-263-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold D Slaughter, MS
• Latoya Slaughter
• Gaynitha Smith-Washington, CNA
• April Marie Smith
• Benjamin James Smith, LCSW
• Claudia Smith
• Deborah Louise Smith, LPC
• Fay Smith
• George Robert Smith, M.D.
• Jessi Danielle Smith, LGSW

• Dentist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.