Cheryl Ann Smith, RDH-EP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H5368 Issued in OR

Practice address

1200 Mira Mar Ave
Medford, OR 97504-8546

Phone

(541) 282-4014

Fax

(866) 775-1369

NPI assigned

May 27, 2011

Sex

Female

Sole proprietor

Yes

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

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1861785586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 MEDFORD CTR # 392",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046772",
            "telephone_number": "541-282-4014",
            "fax_number": "866-775-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MIRA MAR AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048546",
            "telephone_number": "541-282-4014",
            "fax_number": "866-775-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RDH-EP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H5368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Emma Smith
• Amanda Smith
• Amanda R Smith, MS
• Brian Jared Smith, D.C.
• Brin Smith
• Daniel Noam Smith, N.D.
• David M Smith, PT
• Delia A Smith, PT
• Douglas Guy Smith, OD
• Elise Victoria Manbert Smith

• Dental Hygienist in Medford, OR
• Providers in Medford, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.