Richard M. Smith

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4576 Issued in VA

Practice address

100 Parkside Drive
Bridgewater, VA 22812

Phone

(540) 828-3518

Fax

(540) 828-6667

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Miller DDS of Bridgewater, PC

  dba Parkside Family Dentistry

  • General Practice Dentistry
  • Bridgewater, VA
  • NPI 1437489135
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992915557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 FADLEY RD",
            "city": "WEYERS CAVE",
            "state": "VA",
            "postal_code": "244862025",
            "telephone_number": "540-234-8381",
            "fax_number": "540-828-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARKSIDE DRIVE",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "22812",
            "telephone_number": "540-828-3518",
            "fax_number": "540-828-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICHARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "4576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sentara Advanced Imaging Solutions, LLC (Sentara Advanced Imaging Solutions)
• Danielle Q. Shannon
• Jonathan Anthony Shomo, PA
• Melony Shumaker
• Rebecca L Smith
• Olivia Stieler
• Madison Taylor Streett
• Victoria Swanson
• Michael Toms
• William Tucker

• General Practice Dentistry in Bridgewater, VA
• Providers in Bridgewater, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.