Active NPI
Christopher Bruce Smiley, D.D.S.
- General Practice Dentistry
- Chesterfield, VA
National Provider Identifier
1871647164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401007836
- Practice address
- 9401 Courthouse Rd
Suite 306
Chesterfield, VA 23832-6690 - Phone
- (804) 748-9211
- Fax
- (804) 768-4708
- NPI assigned
- Jan 23, 2007
- Last updated
- Jul 8, 2007
- 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 | 0401007836 | VA | Primary |
Addresses
Primary practice location
9401 Courthouse Rd
Suite 306
Chesterfield, VA 23832-6690
Mailing address
9401 Courthouse Rd
Suite 306
Chesterfield, VA 23832-6690
Phone (804) 748-9211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112347 | Other | VA | BLUE CROSS BLUE SHEILD |
| 903135 | Other | VA | UNITED CONCORDIA |
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 |
|---|---|---|---|
| 0401007836 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher B. Smiley and Associates Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Chesterfield, VA
- NPI 1174715338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871647164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 COURTHOUSE RD",
"address_2": "SUITE 306",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238326690",
"telephone_number": "804-748-9211",
"fax_number": "804-768-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 COURTHOUSE RD",
"address_2": "SUITE 306",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238326690",
"telephone_number": "804-748-9211",
"fax_number": "804-768-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "CHRISTOPHER",
"middle_name": "BRUCE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401007836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "112347",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "903135",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.