Individual provider Active NPI

Trenton Espenschied Smith, DDS, MSD

  • Endodontics
  • Brevard, NC
National Provider Identifier
1760035422
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
12694 Issued in NC
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

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712001264 LA Order and Referring Only - DentistPractitioner - Dentist 8527460757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12694NCMDProfessional Counselor
D-5064IDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnell DDS and Van Oostendorp DDS Past Accepting new patients
Idaho State University PastSince Jul 28, 2019 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.

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

Verify at the official NPI Registry.