Individual provider Active NPI

Steven William Smith Jr., D.D.S.

  • General Practice Dentistry
  • Sneads Ferry, NC
National Provider Identifier
1942430467
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9597 Issued in NC
Practice address
1112 NC Highway 210
Sneads Ferry, NC 28460-9139
Phone
(910) 741-1555
Fax
(910) 741-4051
NPI assigned
Jul 17, 2009
Last updated
May 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9597 NC Primary

Addresses

Primary practice location

1112 NC Highway 210
Sneads Ferry, NC 28460-9139

Mailing address

1112 NC Highway 210
Sneads Ferry, NC 28460-9139
Phone (910) 741-1555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160607000948 NC Practitioner - Oral Surgery 5597055467 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven W. Smith DDS PLLC General Practice CurrentSince Apr 3, 2016 Accepting new patients

Locations

1112 NC Highway 210
Sneads Ferry, NC 28460
Phone (910) 741-1555

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1942430467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 NC HIGHWAY 210",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609139",
            "telephone_number": "910-741-1555",
            "fax_number": "910-741-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 NC HIGHWAY 210",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609139",
            "telephone_number": "910-741-1555",
            "fax_number": "910-741-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sneads Ferry, NC

Sources for this page

Verify at the official NPI Registry.