Individual provider Active NPI

Julie Ghafary Smith, DMD

  • General Practice Dentistry
  • Moody, AL
National Provider Identifier
1780917567
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5703 Issued in AL
Practice address
2323 Moody Pkwy
Moody, AL 35004-3012
Phone
(205) 640-1717
Fax
(205) 640-5197
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5703 AL Primary

Addresses

Primary practice location

2323 Moody Pkwy
Moody, AL 35004-3012

Mailing address

1595 Creekstone Cir
Birmingham, AL 35243-2827
Phone (205) 422-8475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150611001109 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567783889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5703ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1780917567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 CREEKSTONE CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432827",
            "telephone_number": "205-422-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 MOODY PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043012",
            "telephone_number": "205-640-1717",
            "fax_number": "205-640-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIE",
        "middle_name": "GHAFARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

Verify at the official NPI Registry.