Organization Active NPI

Insook Smith, D.D.S., P.a.

Doing business as Eden Family Dentistry

  • General Practice Dentistry
  • Eden, NC
National Provider Identifier
1770915738
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9202 Issued in NC
Legal business name
INSOOK SMITH, D.D.S., P.A.
Doing business as
Eden Family Dentistry
Practice address
120B W Arbor LN
Eden, NC 27288-5306
Phone
(336) 627-5206
NPI assigned
Aug 1, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dr. Insook Baik Smith, D.D.S.NPI 1619180445
Title
President/Owner
Phone
(336) 627-5206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9202 NC Primary

Addresses

Primary practice location

120B W Arbor LN
Eden, NC 27288-5306

Mailing address

120B W Arbor LN
Eden, NC 27288-5306
Phone (336) 627-5206

Other names 1

  • Eden Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

120B W Arbor Ln
Eden, NC 27288
Phone (336) 627-5206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1770915738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120B W ARBOR LN",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885306",
            "telephone_number": "336-627-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120B W ARBOR LN",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885306",
            "telephone_number": "336-627-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSOOK SMITH, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "INSOOK",
        "authorized_official_middle_name": "BAIK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "336-627-5206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.