Carlos Stringer Smith, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401414401 Issued in VA

Practice address

520 North 12TH Street
Faculty'S Private Practice
Richmond, VA 23298-5064

Phone

(804) 828-1922

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 2, 2015 through Oct 2, 2027

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.

• Vcu Dental Faculty Practice, LLC

  • General Practice Dentistry
  • Richmond, VA
  • NPI 1568037471
  NPD (past)
• Desiree T Palmer DMD PA

  • General Practice Dentistry
  • Durham, NC
  • NPI 1700202066
  NPD (past)
• Desiree T. Palmer, DMD, PA

  • Dentist
  • Durham, NC
  • NPI 1437528577
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1992968267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 NORTH 12TH STREET",
            "address_2": "FACULTY'S PRIVATE PRACTICE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "804-828-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NORTH 12TH STREET",
            "address_2": "FACULTY'S PRIVATE PRACTICE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "804-828-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Newsom St",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042197",
            "country_code": "US",
            "telephone_number": "919-471-9106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLOS",
        "middle_name": "STRINGER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8640",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912748",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Branden R Smith, LMMT
• Brandon Smith, AGACNP-BC
• Brian Keith Smith Jr., RBT
• Candice Smith, MSW
• Carlin Taylor Smith, LCSW
• Casey M Smith, PT, DPT, CSCS, WCS
• Charles Adam Smith III, D.D.S.
• Christina Smith, PT, DPT
• Cindy Smith, PT
• Connor Smith

• Dentist in Richmond, VA
• Providers in Richmond, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.