Individual provider Active NPI

Anthony Clayton Smallwood, D.D.S.

  • General Practice Dentistry
  • Inwood, WV
National Provider Identifier
1992033799
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3845 Issued in WV
Practice address
372 Middleway Pike Ste a
Inwood, WV 25428-3909
Phone
(304) 229-5851
Fax
(304) 229-0666
NPI assigned
Dec 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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 3845 WV Primary

Addresses

Primary practice location

372 Middleway Pike Ste a
Inwood, WV 25428-3909

Mailing address

372 Middleway Pike Ste a
Inwood, WV 25428-3909
Phone (304) 229-5851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3845WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Lee Miller General Practice Past Accepting new patients
Daniel Bonner PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1992033799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 MIDDLEWAY PIKE STE A",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254283909",
            "telephone_number": "304-229-5851",
            "fax_number": "304-229-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 MIDDLEWAY PIKE STE A",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254283909",
            "telephone_number": "304-229-5851",
            "fax_number": "304-229-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "ANTHONY",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.