Individual provider Active NPI

Skyler Jay Smith, DMD

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1811489594
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D010035 Issued in AZ
Practice address
3160 E Queen Creek Rd Ste 102
Gilbert, AZ 85297-8405
Phone
(480) 620-7101
NPI assigned
May 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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 D010035 AZ Primary

Addresses

Primary practice location

3160 E Queen Creek Rd Ste 102
Gilbert, AZ 85297-8405

Mailing address

23472 S 223Rd PL
Queen Creek, AZ 85142-3218
Phone (480) 620-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D010035AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Crafters, PLLC CurrentSince Jan 10, 2021 Accepting new patients

Locations

3160 E Queen Creek Rd
Ste 102
Gilbert, AZ 85297
Phone (480) 212-0220

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1811489594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23472 S 223RD PL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423218",
            "telephone_number": "480-620-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 E QUEEN CREEK RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978405",
            "telephone_number": "480-620-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SKYLER",
        "middle_name": "JAY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.