NPIMap

Organization Active NPI

Cory M. Smith, DMD, L.L.C.

  • Dental Clinic/Center
  • Stayton, OR
National Provider Identifier
1962727693
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CORY M. SMITH, DMD, L.L.C.
Practice address
505 N 2ND Ave
Stayton, OR 97383-1715
Phone
(503) 769-3366
Fax
(503) 769-5501
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. Cory Meril Smith, DMDNPI 1528258910
Title
Dentist
Phone
(503) 476-5512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

505 N 2ND Ave
Stayton, OR 97383-1715

Mailing address

505 N 2ND Ave
Stayton, OR 97383-1715
Phone (503) 769-3366

National Provider Directory

National Provider Directory

Locations

505 N 2nd Ave
Stayton, OR 97383
Phone (503) 769-3366

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1962727693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N 2ND AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831715",
            "telephone_number": "503-769-3366",
            "fax_number": "503-769-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N 2ND AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831715",
            "telephone_number": "503-769-3366",
            "fax_number": "503-769-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY M. SMITH, DMD, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "MERIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-476-5512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stayton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.