Nicholas Hampton Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61518860 Issued in WA

Practice address

417 E Broadway Ave Ste 103
Moses Lake, WA 98837-3081

Phone

(509) 765-0150

NPI assigned

Jun 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kasey R. Coulson Family & Cosmetic Dentistry, PLLC

  • Dentist
  • Moses Lake, WA
  • NPI 1306506894
  NPD
• RJ Henneberg, PLLC

  • General Practice Dentistry
  • Moses Lake, WA
  • NPI 1700490356

  General Practice

  NPD
• Scott J Phelps DMD PLLC

  • Dental Clinic/Center
  • Mesa, AZ
  • NPI 1992672216
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1790355121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 W JUNCO ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375813",
            "telephone_number": "208-251-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E BROADWAY AVE STE 103",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373081",
            "telephone_number": "509-765-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Pioneer Way",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988372346",
            "country_code": "US",
            "telephone_number": "509-765-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLAS",
        "middle_name": "HAMPTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011081",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61518860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronsen William Smith, MHP
• Jasee S Smith
• Jordan Smith, D.O.
• Kent C Smith, DO
• Kevin Kimberly Smith, MD
• Sierra Shea Smith
• Juanita Snyder-Nelson, LMP
• Social Treatment Opportunity Programs II, Inc.
• Kawther Mahmoud Ahmed Soliman, M,D
• Sound Oxygen Service Inc

• All providers in Moses Lake, WA
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.