Edward Calhoun Smith, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012471 Issued in GA

Practice address

5650 Whitesville Rd
Ste 101
Columbus, GA 31904-3439

Phone

(706) 494-5886

Fax

(706) 494-5887

NPI assigned

Dec 15, 2006

Sex

Male

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

Enrolled in GA

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

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871655936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 WHITESVILLE RD",
            "address_2": "STE 101",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043439",
            "telephone_number": "706-494-5886",
            "fax_number": "706-494-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 WHITESVILLE RD",
            "address_2": "STE 101",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043439",
            "telephone_number": "706-494-5886",
            "fax_number": "706-494-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWARD",
        "middle_name": "CALHOUN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P. Smith, MD
• Deja Smith
• Desiree Smith
• Douglas E Smith, PT
• Ebony Smith, RBT
• Erlisha Smith, RBT
• Ferah G Smith
• Jacqueline Smith, LPN
• Jade Smith
• James Kelly Smith Jr.

• General Practice Dentistry in Columbus, GA
• Providers in Columbus, GA by specialty
• General Practice Dentistry in Georgia

• 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.
• 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.