Kerri Smith, DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KERRI SMITH, DMD, LLC

Practice address

11525 SW Durham Rd Ste D1
Tigard, OR 97224-3475

Phone

(503) 435-7213

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Kerri Smith, DMDNPI 1639722234

Title

Owner, Dentist

Phone

(503) 620-6133

Specialties & licenses 2

Addresses

Other names 1

• Tualatin Valley Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerri Smith, DMD

  • General Practice Dentistry
  • Tigard, OR
  • NPI 1639722234
  NPD Authorized official
• Richard Whipple, D.D.S.

  • General Practice Dentistry
  • Tigard, OR
  • NPI 1073556791
  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1780369934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 SW DURHAM RD STE D1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243475",
            "telephone_number": "503-620-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 SW DURHAM RD STE D1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243475",
            "telephone_number": "503-435-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRI SMITH, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "503-620-6133",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tualatin Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler C Kennedy
• Nicole H. Kennelly
• Johnny Keridwen
• Maura Kern Payne
• Dawn Julayne Kerns, LMT
• R. G. Evan Colbie Kerschner
• Kathleen Patricia Kerwan, FNP-C
• Leila Khodor
• Firas George Khoury, MD
• Jamie Kidd

• Dental Clinic/Center in Tigard, OR
• Providers in Tigard, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.