Active NPI
Aaron Douglas Smith, DMD
- General Practice Dentistry
- Puyallup, WA
National Provider Identifier
1851484976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00008481
- Practice address
- 15214 Canyon Rd E Ste 220
Puyallup, WA 98375-7457 - Phone
- (253) 539-4500
- Fax
- (253) 460-6382
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DE00008481 | WA | Primary |
Addresses
Primary practice location
15214 Canyon Rd E Ste 220
Puyallup, WA 98375-7457
Mailing address
15214 Canyon Rd E Ste 220
Puyallup, WA 98375-7457
Phone (253) 539-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1370913 | Other | WA | UNITED CONCORDIA # |
| 602205249 | Other | WA | UBIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00008481 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1851484976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15214 CANYON RD E STE 220",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983757457",
"telephone_number": "253-539-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15214 CANYON RD E STE 220",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983757457",
"telephone_number": "253-539-4500",
"fax_number": "253-460-6382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AARON",
"middle_name": "DOUGLAS",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00008481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA #",
"identifier": "1370913",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBIN",
"identifier": "602205249",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.