NPIMap

Organization Active NPI

Jeffery W Smith DDS Inc

  • Dental Clinic/Center
  • Sonora, CA
National Provider Identifier
1831387836
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
25219 Issued in CA
Legal business name
JEFFERY W SMITH DDS INC
Practice address
630 Woods Creek Dr
Sonora, CA 95370-4817
Phone
(209) 532-4376
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Jeffery William Smith, DDSNPI 1215957105
Title
President
Phone
(209) 532-4376

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 25219 CA Primary

Addresses

Primary practice location

630 Woods Creek Dr
Sonora, CA 95370-4817

Mailing address

630 Woods Creek Dr
Sonora, CA 95370-4817
Phone (209) 532-4376

National Provider Directory

National Provider Directory

Locations

630 Woods Creek Dr
Sonora, CA 95370
Phone (209) 532-4376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1831387836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 WOODS CREEK DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704817",
            "telephone_number": "209-532-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 WOODS CREEK DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704817",
            "telephone_number": "209-532-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY W SMITH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-532-4376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "25219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.