Active NPI
Christina Virginia Smart, R.D.H.
- Dental Hygienist
- Syracuse, NY
National Provider Identifier
1750489456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 023558-1
- Practice address
- 90 Presidential PLZ
4TH Floor Dental Department
Syracuse, NY 13202-2240 - Phone
- (315) 464-5256
- Fax
- (315) 464-6524
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 023558-1 | NY | Primary |
Addresses
Primary practice location
90 Presidential PLZ
4TH Floor Dental Department
Syracuse, NY 13202-2240
Mailing address
3401 Cherry Valley Tpke
Marcellus, NY 13108-9665
Phone (315) 673-2091
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 |
|---|---|---|---|
| 023558-1 | NY | MD | Dental Hygienist |
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": "1750489456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 CHERRY VALLEY TPKE",
"city": "MARCELLUS",
"state": "NY",
"postal_code": "131089665",
"telephone_number": "315-673-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 PRESIDENTIAL PLZ",
"address_2": "4TH FLOOR DENTAL DEPARTMENT",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132022240",
"telephone_number": "315-464-5256",
"fax_number": "315-464-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "CHRISTINA",
"middle_name": "VIRGINIA",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "023558-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.