Ryan David Smith, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12449 Issued in TN

Practice address

BLDG 2441 21St St
Ft. Campbell, KY 43332

Phone

(270) 798-8751

NPI assigned

May 7, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1831754795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG D-3836 ARDENNES ROAD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 2441 21ST ST",
            "city": "FT. CAMPBELL",
            "state": "KY",
            "postal_code": "43332",
            "telephone_number": "270-798-8751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg 4681 Logistics Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283100001",
            "country_code": "US",
            "telephone_number": "910-907-9061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 Woodridge Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142251548",
            "country_code": "US",
            "telephone_number": "518-796-7444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Bldg D-3836 Ardennes Road",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283100001",
            "country_code": "US",
            "telephone_number": "910-432-2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032265",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "12449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arron Michael Smith, MD
• Danielle Marie Smith, PSY.D., MSCP
• Dennis Smith
• Melissa Jo Smith, MD
• Robert John Smith, LPN
• Shelby Lynn Smith, CNM
• William Edgar Smith, DMD
• Zachary Michael Smith, D.O.
• Stuart Wilson Smythe Jr., LCSW
• Ricky Snipes

• Endodontics in Ft. Campbell, KY
• Providers in Ft. Campbell, KY by specialty
• Endodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.