Organization Active NPI

Robert H Smith,DMD

  • Dentist
  • Lebanon, KY
National Provider Identifier
1881053890
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5594 Issued in KY
Legal business name
ROBERT H SMITH,DMD
Practice address
503 N Spalding Ave
Lebanon, KY 40033-1022
Phone
(270) 692-3265
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert H SmithNPI 1457342487
Title
DMD
Phone
(270) 692-3265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5594 KY Primary

Addresses

Primary practice location

503 N Spalding Ave
Lebanon, KY 40033-1022

Mailing address

PO Box 535
Lebanon, KY 40033-0535
Phone (270) 692-3265

Other identifiers 1

IdentifierTypeStateIssuer
60055944MedicaidKY

National Provider Directory

National Provider Directory

Locations

503 N Spalding Ave
Lebanon, KY 40033
Phone (270) 692-3265

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1881053890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400330535",
            "telephone_number": "270-692-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N SPALDING AVE",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331022",
            "telephone_number": "270-692-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H SMITH,DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "270-692-3265",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "5594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60055944",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.