NPIMap

Organization Active NPI

Andrew a Smith, Inc.

Doing business as Main Street Dental

  • Dentist
  • Los Banos, CA
National Provider Identifier
1790811669
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
C42233 Issued in CA
Legal business name
ANDREW A SMITH, INC.
Doing business as
Main Street Dental
Practice address
1314 S 6TH St
Los Banos, CA 93635-4729
Phone
(209) 827-9226
Fax
(209) 827-7679
NPI assigned
Feb 26, 2007
Last updated
Nov 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. Andrew A Smith, DDSNPI 1073918447
Title
Owner
Phone
(209) 827-9226

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X C42233 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X C43678 CA

Addresses

Primary practice location

1314 S 6TH St
Los Banos, CA 93635-4729

Mailing address

1314 S 6TH St
Los Banos, CA 93635-4729
Phone (209) 827-9226

Other names 1

  • Main Street Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1314 S 6th St
Los Banos, CA 93635
Phone (209) 704-5842

Practitioners & affiliated clinicians

Practitioners 2

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1790811669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S 6TH ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354729",
            "telephone_number": "209-827-9226",
            "fax_number": "209-827-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S 6TH ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354729",
            "telephone_number": "209-827-9226",
            "fax_number": "209-827-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW A SMITH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-827-9226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "C42233",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "C43678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.