John P Smith, D.D.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D4520 Issued in AZ

Practice address

1011 N Craycroft Rd
Suite 107
Tucson, AZ 85711-7309

Phone

(520) 322-0800

Fax

(520) 917-2358

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770636383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N CRAYCROFT RD",
            "address_2": "SUITE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117309",
            "telephone_number": "520-322-0800",
            "fax_number": "520-917-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CRAYCROFT RD",
            "address_2": "SUITE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117309",
            "telephone_number": "520-322-0800",
            "fax_number": "520-917-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D4520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Smith, M.D.
• Jerone I Smith Sr., MA, FHD
• Jessica Leigh Smith, FNP
• Joanna L Smith, LAC
• John Martin Smith, M.D.
• Jonan Smith
• Jordan Lee Smith, M.D.
• Joshua Arnold Smith
• Joshua Tucker Smith, MD
• Julie A Smith, M.S., CCC-A

• Endodontics in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Endodontics in Arizona

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.