Active NPI
Zachary A Smith, D. D. D.
- General Practice Dentistry
- Weatherford, TX
National Provider Identifier
1821344615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28038
- Practice address
- 114 W Columbia St
Weatherford, TX 76086-4312 - Phone
- (817) 594-3806
- NPI assigned
- Jul 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28038 | TX | Primary |
Addresses
Primary practice location
114 W Columbia St
Weatherford, TX 76086-4312
Mailing address
2635 Nacogdoches Rd
#204
San Antonio, TX 78217-6039
Phone (210) 829-7651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160127002368 | TX | Order and Referring Only - Dentist | 6002119815 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28038 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weatherford Cosmetic and Family Dentistry, P.C. | Past | Accepting new patients | |
| Weatherford Cosmetic & Family Dentistry | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Weatherford, TX
- NPI 1699847145
-
- Dental Clinic/Center
- Weatherford, TX
- NPI 1578976064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1821344615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 NACOGDOCHES RD",
"address_2": "#204",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782176039",
"telephone_number": "210-829-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W COLUMBIA ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760864312",
"telephone_number": "817-594-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ZACHARY",
"middle_name": "A",
"credential": "D. D. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-30",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.