DR. SAMUEL G. SMITH (NPI# 1013920313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013920313 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL G. SMITH |
| Credential | D.M.D.,M.S. |
| Practice Address |
1541 S. Times Square Boise ID 83709 |
| Practice Telephone | 2083217006 |
| Practice Fax Number | 2083754647 |
| Mailing Telephone | 2083217006 |
| Mailing Fax Number | 2083754647 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D-3549-OR | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487124376 | Samuel Smith | Occupational Therapist | 174 S Freeport Rd Ste 1a, Freeport, ME 04032-6160 | 2018-12-04 |
| 1922527191 | Samuel Maria Smith | Chiropractor | 1012 Poly Dr, Billings, MT 59102-1832 | 2017-09-19 |
| 1073967949 | Samuel Henry Smith | Student in an Organized Health Care Education/Training Program | Universuty of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | 2016-04-18 |
| 1285805846 | Samuel Bardwell Smith | Psychologist | 1279 Linda Mar Shopping Ctr, Suite 112, Pacifica, CA 94044-3347 | 2008-03-21 |
| 1588873624 | Samuel L Smith | Chiropractor | 7743 E Broadway Blvd, Tucson, AZ 85710-3941 | 2007-05-22 |
| 1215076518 | Samuel Goodale Smith | Obstetrics & Gynecology | 307 Noble Faire Dr, Sun City Center, FL 33573-6432 | 2007-02-05 |
| 1841363132 | Samuel M Smith | Anesthesiology | 975 E Third S, Chattanooga, TN 37403-2147 | 2006-11-16 |
| 1770671109 | Samuel Madison Smith Jr. | Dentist | 1519 East Mccord, Centralia, IL 62801 | 2006-10-11 |
| 1649226309 | Samuel R Smith | Chiropractor | 279 West Main Street, #8, Middletown, PA 17057-1222 | 2006-05-25 |
| 1962018986 | Samuel Smith | Physical Therapist | 272 Highland Drive, Lebanon, VA 24266 | 2020-09-16 |
| Street Address |
1541 S. TIMES SQUARE |
| City | BOISE |
| State | ID |
| Zip Code | 83709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801061080 | Laura Kathleen Lineberry | Dentist | 13059 W Persimmon Ln, Boise, ID 83713-1986 | 2008-04-28 |
| 1194910778 | Scott D Alexander | Dentist | 3167 South Bown Way, Boise, ID 83706 | 2007-09-07 |
| 1952504318 | Jacob Reed Jarivs | Dentist | 6000 S Quamash Way, Boise, ID 83716-5617 | 2007-06-05 |
| 1588879399 | Jon Miler | Dentist | 5220 N Eagle Rd, Boise, ID 83713-0945 | 2007-05-14 |
| 1194814251 | Steven David Gilman | Dentist | 7301 W Emerald St Ste 101, Boise, ID 83704-8689 | 2006-10-12 |
| 1396843058 | Marcus Lowry | Dentist | 9460 W. Franklin Rd, Boise, ID 83709 | 2006-09-20 |
| 1346344884 | John C. Slattery | Dentist | 600 E Riverpark Ln, Suite 100, Boise, ID 83706-6551 | 2006-09-12 |
| 1265535298 | James Kelly Poulsen | Dentist | 1453 W Hays, Boise, ID 83702 | 2006-09-06 |
| 1043322548 | Terrell F Tingey | Dentist | 2020 N Cole Rd, Boise, ID 83704 | 2006-08-31 |
| 1205943669 | John C Matunas | Dentist | 8000 Ustick Rd, Boise, ID 83704-5751 | 2006-08-23 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.