Individual provider Active NPI

James C Smith, D.M.D.

  • Dentist
  • Hollidaysburg, PA
National Provider Identifier
1891811568
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS024665-L Issued in PA
Practice address
712 Logan Blvd
Hollidaysburg, PA 16648-3015
Phone
(814) 946-1950
Fax
(814) 946-5725
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS024665-L PA Primary

Addresses

Primary practice location

712 Logan Blvd
Hollidaysburg, PA 16648-3015

Mailing address

712 Logan Blvd
Hollidaysburg, PA 16648-3015
Phone (814) 946-1950

Other identifiers 2

IdentifierTypeStateIssuer
463335OtherPAPIN-UCCI
1295764868OtherPAGRP NPI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS024665-LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
42 North Dental Care LLC PastSince Feb 1, 2022 Accepting new patients
Dentasl Care Associates, Inc. Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891811568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 LOGAN BLVD",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483015",
            "telephone_number": "814-946-1950",
            "fax_number": "814-946-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 LOGAN BLVD",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483015",
            "telephone_number": "814-946-1950",
            "fax_number": "814-946-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS024665-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN-UCCI",
            "identifier": "463335",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI",
            "identifier": "1295764868",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

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.

Verify at the official NPI Registry.