Active NPI
Erika J Smith, DDS
- Dentist
- Pahrump, NV
National Provider Identifier
1982680153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5627
- Practice address
- 1430 E Calvada Blvd
Ste 300-400
Pahrump, NV 89048-5824 - Phone
- (775) 629-4000
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD2628 | NM | |
| Dentist | 122300000X | 5627 | NV | Primary |
Addresses
Primary practice location
1430 E Calvada Blvd
Ste 300-400
Pahrump, NV 89048-5824
Mailing address
2620 S Maryland Pkwy
Ste 14-304
Las Vegas, NV 89109-8300
Phone (702) 527-0796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150326000061 | NV | Practitioner - Dentist | 8325365620 | Practice locations: Pahrump, NV |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD2628 | NM | MD | Dentist |
| 5627 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1982680153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 S MARYLAND PKWY",
"address_2": "STE 14-304",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891098300",
"telephone_number": "702-527-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 E CALVADA BLVD",
"address_2": "STE 300-400",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890485824",
"telephone_number": "775-629-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ERIKA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD2628",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "5627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pahrump, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.