David Watts Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS4557 Issued in TN

Practice address

831 Timber Creek Dr Ste 1
Cordova, TN 38018-3108

Phone

(901) 754-8080

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Practice roles

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.

• David W. Smith, DDS PLLC

  • General Practice Dentistry
  • Cordova, TN
  • NPI 1669811634
  NPD (past) Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1902979271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 TIMBER CREEK DR STE 1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183108",
            "telephone_number": "901-754-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TIMBER CREEK DR STE 1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183108",
            "telephone_number": "901-754-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "WATTS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS4557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DS-4557",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smileaway Family Dentistry, PLC
• Smith Chiropractic Clinics P C
• Carmen Latonya Smith, P.T.
• Christian Charles Smith, D.P.M.
• Dale Ford Smith, D.C.
• Dayciaa C Smith, ED.D., LPC, NCC
• Jerry W Smith
• Kayleigh Smith, PT, DPT
• Kristy Smith
• Melanie McClain Smith, D.O.

• Dentist in Cordova, TN
• Providers in Cordova, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.