Jacob Thomas Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24693 Issued in TX

Practice address

200 Cornerstone Dr Ste 200&203
Cary, NC 27519-8428

Phone

(919) 468-4211

NPI assigned

Aug 31, 2009

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932332434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 COLBY CREEK AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814001",
            "telephone_number": "210-396-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORNERSTONE DR STE 200&203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198428",
            "telephone_number": "919-468-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3521 Colby Creek Ave",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890814001",
            "country_code": "US",
            "telephone_number": "210-396-0579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACOB",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Smith
• Diana Halena Smith
• Heather Michelle Smith, PT
• Heather Renay Smith
• Hollie Ryals Smith
• Jacqueline Smith
• Jania Smith
• Jason D. Smith, M.ED., LCMHCA
• Jennifer Kroohs Smith, MA, CCC-SLP
• Julia Marie Smith, LCSW

• General Practice Dentistry in Cary, NC
• Providers in Cary, 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 Jul 21, 2022; 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.