Gerald W Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8332 Issued in TX

Practice address

8680 W Main St Ste 4E
Frisco, TX 75034-3096

Phone

(972) 335-2417

Fax

(972) 377-3808

NPI assigned

Aug 8, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922018662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 W MAIN ST STE 4E",
            "address_2": "PO BOX 516",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343096",
            "telephone_number": "972-335-2417",
            "fax_number": "972-377-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 W MAIN ST STE 4E",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343096",
            "telephone_number": "972-335-2417",
            "fax_number": "972-377-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GERALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00J565",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "810437",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Smith, AGNP
• Ann Kathryn Smith, PA-C
• Bryanna Smith
• Cheyenne Michele Smith
• Deborah Walker Smith, OTR
• Gery Smith
• Haylee Ann Smith
• Jasmine Dominique Smith, NP
• Kacey Danyell Smith
• Kiara Smith

• General Practice Dentistry in Frisco, TX
• Providers in Frisco, TX by specialty
• General Practice Dentistry in Texas

• 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.