Active NPI
Trenton Espenschied Smith, DDS, MSD
- Endodontics
- Brevard, NC
National Provider Identifier
1760035422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 12694
- Practice address
- 4 Market St Ste 4205
Brevard, NC 28712-5637 - Phone
- (801) 368-8028
- NPI assigned
- Jul 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-5064 | ID | |
| Endodontics | 1223E0200X | 12694 | NC | Primary |
Addresses
Primary practice location
4 Market St Ste 4205
Brevard, NC 28712-5637
Mailing address
4 Market St Ste 4205
Brevard, NC 28712-5637
Phone (801) 368-8028
Other practice location 1
55 Morgan St
Marion, NC 28752-4935
Phone (828) 652-6967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210712001264 | LA | Order and Referring Only - Dentist | 8527460757 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12694 | NC | MD | Professional Counselor |
| D-5064 | ID | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunnell DDS and Van Oostendorp DDS | Past | Accepting new patients | |
| Idaho State University | Past | Accepting new patients | |
| Milton James Gaskill Jr DDS PA | Dentist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Marion, NC
- NPI 1376047738
-
- Dentist
- Marion, NC
- NPI 1831165745
-
- General Practice Dentistry
- Pocatello, ID
- NPI 1851516256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1760035422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MARKET ST STE 4205",
"city": "BREVARD",
"state": "NC",
"postal_code": "287125637",
"telephone_number": "801-368-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MARKET ST STE 4205",
"city": "BREVARD",
"state": "NC",
"postal_code": "287125637",
"telephone_number": "801-368-8028"
}
],
"practiceLocations": [
{
"address_1": "55 Morgan St",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "NC",
"postal_code": "287524935",
"country_code": "US",
"telephone_number": "828-652-6967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "TRENTON",
"middle_name": "ESPENSCHIED",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-22",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-5064",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NC",
"license": "12694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.