John Alexander Smith, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10065 Issued in MD

Practice address

136 E Broadway
Bel Air, MD 21014-2904

Phone

(410) 893-8706

Fax

(410) 893-3691

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• W. K. Smith & J. a. Smith, PA

  • Oral and Maxillofacial Pathology Dentistry
  • Bel Air, MD
  • NPI 1346548245
  NPD (past)
• Wksmith & Jasmith, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Bel Air, MD
  • NPI 1215023288
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821161191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E BROADWAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142904",
            "telephone_number": "410-893-8706",
            "fax_number": "410-893-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E BROADWAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142904",
            "telephone_number": "410-893-8706",
            "fax_number": "410-893-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "10065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MD",
            "identifier": "KS26",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Henry Smith, M.AC.,L.AC.
• Grayson Smith
• Gregory E. Smith, LCPC
• Holly A Smith, FNP-BC
• Jessica Smith
• Julia Smith
• Laurie Smith
• Lesley Smith, LCPC
• Linda Louise Smith, LCPC
• Paula Senay Smith, LCSW-C

• Oral and Maxillofacial Surgery (Dentist) in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.