Joseph Roy Smith II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4119 Issued in NC

Practice address

3877 James St
Bethel, NC 27812-0018

Phone

(252) 825-1131

Fax

(252) 825-0220

NPI assigned

Jun 12, 2006

Last updated

Dec 15, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joseph R Smith,II, DDS,PA

  • Exclusive Provider Organization
  • Bethel, NC
  • NPI 1073785622
  NPD (past) Authorized official

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1912949066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278120936",
            "telephone_number": "252-825-1131",
            "fax_number": "252-825-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3877 JAMES ST",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278120018",
            "telephone_number": "252-825-1131",
            "fax_number": "252-825-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSEPH",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997937",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Ann Pippen
• Dwayne Preast
• PWP Medical Inc (Bethel Pharmacy)
• Richard P Rawl, MD
• Ray of Hope Incorporated
• Tina Marie Staton
• United Providers of Health

• General Practice Dentistry in Bethel, NC
• Providers in Bethel, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.