Louis Ronald Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

15214 Issued in OH

Practice address

42707 N Ridge Rd
Elyria, OH 44035-1054

Phone

(440) 444-0379

Fax

(440) 654-2778

NPI assigned

Dec 2, 2005

Last updated

Jun 2, 2015By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leidenheimer Dental Group, Inc.

  • General Practice Dentistry
  • Elyria, OH
  • NPI 1750551479
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1841274859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42707 N RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351054",
            "telephone_number": "440-444-0379",
            "fax_number": "440-654-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42707 N RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351054",
            "telephone_number": "440-444-0379",
            "fax_number": "440-654-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LOUIS",
        "middle_name": "RONALD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "15214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203538",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Adam Smith Jr.
• Jessica Smith
• Jessica Ann Smith, APRN
• John Robert Smith, O.D.
• Josef Nathan Smith, MBA, PARAMEDIC
• Marc Smith
• Paul Smith
• Peter Smith
• Samantha Jo Smith
• Stephen R Smith III

• Dentist in Elyria, OH
• Providers in Elyria, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.

Verify at the official NPI Registry.