Active NPI
Ronald W. Smith, D.D.S., P.C.
- Pediatric Dentistry
- Cambridge, MA
National Provider Identifier
1871743187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12016
- Legal business name
- RONALD W. SMITH, D.D.S., P.C.
- Practice address
- 1749 Massachusetts Ave
Cambridge, MA 02140-2217 - Phone
- (617) 492-1106
- Fax
- (617) 661-1555
- NPI assigned
- Sep 23, 2008
- Last updated
- Sep 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald W. Smith
- Title
- Dentist
- Phone
- (617) 492-1106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12016 | MA | Primary |
Addresses
Primary practice location
1749 Massachusetts Ave
Cambridge, MA 02140-2217
Mailing address
1749 Massachusetts Ave
Cambridge, MA 02140-2217
Phone (617) 492-1106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9795286 | Other | MA | MASSHEALTH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Cambridge, MA
- NPI 1316957962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1871743187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 MASSACHUSETTS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402217",
"telephone_number": "617-492-1106",
"fax_number": "617-661-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 MASSACHUSETTS AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402217",
"telephone_number": "617-492-1106",
"fax_number": "617-661-1555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD W. SMITH, D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "617-492-1106",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "12016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "9795286",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.