Individual provider Active NPI

Stephen Craig Smart, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • El Dorado, AR
National Provider Identifier
1801830948
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2321 Issued in AR
Practice address
318 Thompson Ave
El Dorado, AR 71730-4569
Phone
(870) 863-0088
Fax
(870) 862-4230
NPI assigned
Jun 16, 2006
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2321 AR Primary

Addresses

Primary practice location

318 Thompson Ave
El Dorado, AR 71730-4569

Mailing address

318 Thompson Ave
El Dorado, AR 71730-4569
Phone (870) 863-0088

Other identifiers 3

IdentifierTypeStateIssuer
19552OtherQUALCHOICE
58158OtherARBLUE CROSS BLUE SHIELD
626401OtherUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2321ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Saoms Inc. Oral and Maxillofacial Surgery Current Accepting new patients

Locations

318 Thompson Ave
El Dorado, AR 71730
Phone (870) 863-0088

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1801830948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 THOMPSON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304569",
            "telephone_number": "870-863-0088",
            "fax_number": "870-862-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 THOMPSON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304569",
            "telephone_number": "870-863-0088",
            "fax_number": "870-862-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "STEPHEN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "2321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "19552",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58158",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "626401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.