Corey Lee Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14520 Issued in MD

Practice address

11007 Manklin Creek Rd Unit 1
Ocean Pines, MD 21811-4012

Phone

(410) 208-0054

Fax

(410) 208-0044

NPI assigned

Jun 29, 2010

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

Medicare fee-for-service enrollment

Enrolled in MD

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

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1942511563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11007 MANKLIN CREEK RD UNIT 1",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218114012",
            "telephone_number": "410-208-0054",
            "fax_number": "410-208-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11007 MANKLIN CREEK RD UNIT 1",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218114012",
            "telephone_number": "410-208-0054",
            "fax_number": "410-208-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015300",
            "country_code": "US",
            "telephone_number": "410-341-0307",
            "fax_number": "410-341-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy M Mohr, C.PED
• Adrienne Naleppa, NCC
• Ocean City Foot & Ankle P a
• Peter J Cuesta, DPM, PA
• Deneen Dee Rayne, CAADC/LGPC
• Patricia D. Strott, LCSW-C
• The New Pathway, LLC
• The New Pathway, LLC
• Tidalhealth Specialty Care, LLC
• Peter Lehman Zemo, M.D.

• General Practice Dentistry in Ocean Pines, MD
• Providers in Ocean Pines, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.