Bradley Colin Smith, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010730 Issued in AZ

Practice address

1900 14TH St Ste C
Plano, TX 75074-6426

Phone

(469) 298-0247

NPI assigned

Jun 21, 2019

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

Medicare fee-for-service enrollment

Enrolled in AZ

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 and National Provider Directory roles.

• Vale Dental Professionals, LLC

  • Dental Clinic/Center
  • Tempe, AZ
  • NPI 1871187419
  NPD (past)
• Vale Family Dental

  • Dentist
  • Tempe, AZ
  • NPI 1164999082
  NPD (past)

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1851952790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 N 35TH AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518390",
            "telephone_number": "602-777-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 14TH ST STE C",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746426",
            "telephone_number": "469-298-0247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 E Thunderbird Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852543539",
            "country_code": "US",
            "telephone_number": "602-996-1660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "COLIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Smiley, LAT
• Jennifer D Smith-Reed X, COTA
• Abigail Lou Smith, PHARMD
• Allison Smith
• Blake T Smith, M.D.
• Breea Smith
• Cierra Smith, LICSW
• Collin Carey Smith, LPC
• Connor McLaughlin Smith, M.D.
• Corey Taylor Smith, ATC, L

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.