Thomas R. Smart, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THOMAS R. SMART, DDS, PA

Practice address

1717 Lincoln Way Ste 204
Coeur D Alene, ID 83814-2556

Phone

(208) 667-0012

Fax

(208) 765-0788

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Thomas Richard SmartNPI 1235219361

Title

Dentist

Phone

(208) 667-0012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Thomas Richard Smart, DDS

  • General Practice Dentistry
  • Coeur D Alene, ID
  • NPI 1235219361
  NPD (past) Authorized official

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1982874038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN WAY SUITE 204",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142556",
            "telephone_number": "208-667-0012",
            "fax_number": "208-765-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 LINCOLN WAY STE 204",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142556",
            "telephone_number": "208-667-0012",
            "fax_number": "208-765-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. SMART, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-667-0012"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806798100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Thibodeau, PHARMD
• Thomas Thilo, MD
• Shannon C. Thistle, PA-C
• Thomas Lee Jaeger DDS PA
• Thomas R Van Fossen
• Benjamin Collins Thomas, NP
• Burk Aaron Thomas, D.C.
• Cooper Noble Thomas, DPT
• Doran R Thomas, CRNA
• Drew Dalton Thomas, M.D.

• General Practice Dentistry in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.