KEITH SHIPLEY SMITH II (NPI# 1235148859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235148859 |
| Entity Type | Individual |
| Full Name | KEITH SHIPLEY SMITH II |
| Credential | DDS MSP |
| Practice Address |
3212 Gulf Gate Dr Sarasota FL 34231-2404 |
| Practice Telephone | 9419212122 |
| Practice Fax Number | 9419248956 |
| Mailing Telephone | 9419212122 |
| Mailing Fax Number | 9419248956 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN13173 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
| 1851886931 | Keith Smith | Behavior Technician | 3347 Del Mar Ave, Rosemead, CA 91770-2329 | 2018-06-29 |
| 1215309836 | Keith Smith | Contractor | 1755 State Route 39, Lucas, OH 44843 | 2015-10-22 |
| 1265877286 | Keith Smith | Pharmacist | 382 Ridge Dr, Hayden, AL 35079-7013 | 2013-05-03 |
| 1891027066 | Keith Joseph Smith | Pharmacist | 4290 W Vienna Rd, Clio, MI 48420-9454 | 2010-02-12 |
| 1205950730 | Keith Barry Smith | Technician/Technologist | 880 N Miramar Ave, Indialantic, FL 32903 | 2007-03-19 |
| 1194770362 | Keith Wayne Smith | Dentist | 2501 Market Trce, Ste A, Fort Smith, AR 72908-8677 | 2006-05-24 |
| 1447740295 | Keith A Smith | Marriage & Family Therapist | 5350 N Academy Blvd, Colorado Springs, CO 80918-4098 | 2018-05-17 |
| 1134626013 | Keith D. Smith | Community/Behavioral Health | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2018-04-09 |
| 1356799886 | Keith Altarik Smith | Developmental Therapist | 421 Fayetteville St, Suite 1100, Raleigh, NC 27601-1792 | 2016-05-25 |
| Street Address |
3212 GULF GATE DR |
| City | SARASOTA |
| State | FL |
| Zip Code | 34231-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780742478 | Deborah L. Simpkins | Dentist | 3212 Gulf Gate Dr, Sarasota, FL 34231-2404 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292581 | Vanessa M Carmody | Occupational Therapist | 3938 South Tamiami Trail, Sarasota, FL 34231 | 2018-10-24 |
| 1982100194 | Manasota Cares LLC | In Home Supportive Care | 1832 Bayonne St, Sarasota, FL 34231 | 2018-04-05 |
| 1992166003 | Szilvia Lorincz | Nurse Practitioner | 5626 Nutmeg Ave, Sarasota, FL 34231 | 2016-03-16 |
| 1427440684 | Sarasota Primary Care, LLC | Family Medicine | 3333 Clark Rd Ste 190, Sarasota, FL 34231 | 2015-02-25 |
| 1689062887 | Brian Suchan | Hearing Instrument Specialist | 4858 S. Tamiami Trail, Sarasota, FL 34231 | 2014-12-23 |
| 1235572108 | Re-align Exercise Therapy | Clinic/Center | 5210 Palos Verdes Dr, Sarasota, FL 34231 | 2013-04-10 |
| 1346580016 | Karen Lee Bechtold | Physical Therapist | 6553 Gulf Gate Pl Apt 248, Sarasota, FL 34231 | 2013-02-18 |
| 1356688956 | Julius Stone | Dermatology | 5430 Eagle's Point Circle, #103, Sarasota, FL 34231 | 2013-01-16 |
| 1033465034 | Melissa Berry | Occupational Therapist | 2140 Brueckner Drive, Sarasota, FL 34231 | 2012-07-27 |
| 1518233477 | Wigs and Hair Extensions of Sarasota Inc. | Durable Medical Equipment & Medical Supplies | 2412 Stickney Point Road, Sarasota, FL 34231 | 2012-03-26 |
| Find all providers in zip 34231 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003085283 | Gregory Rutherford | Dentist | 1960 S Tuttle Ave, Sarasota, FL 34239-3114 | 2008-02-21 |
| 1992928931 | Michael Thaddeus Gmitruk | Dentist | 3900 Clark Rd Bldg S, Sarasota, FL 34233-2380 | 2007-04-10 |
| 1659716058 | Howard M. Chasolen | Dentist | 2033 Wood St, Suite 125, Sarasota, FL 34237-7900 | 2013-04-30 |
| 1376827444 | Ginger Robin Chasolen | Dentist | 1215 S East Ave, Suite 202, Sarasota, FL 34239-2342 | 2011-10-06 |
| 1710273883 | Howard M. Chasolen, Dmd, Pa | Dentist | 2033 Wood St, Suite 125, Sarasota, FL 34237-7900 | 2011-06-27 |
| 1841495124 | Drs. Chasolen & Chasolen, P.a. | Dentist | 2033 Wood St, Suite 125, Sarasota, FL 34237-7900 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650540 | Zineb Mediouni Dmd Pa | Dentist | 14502 N Dale Mabry Hwy Ste 102, Tampa, FL 33618-2076 | 2020-08-19 |
| 1932728078 | Mohammad Reza Azari Samani | Dentist | 14453 Beach Blvd Ste 100, Jacksonville, FL 32250-2081 | 2020-04-09 |
| 1013562941 | Blanding Dental Associates P.a. | Dentist | 767 Blanding Blvd Ste 108, Orange Park, FL 32065-5788 | 2019-08-07 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1700365145 | Carlos Soucy Aranguren | Dentist | 1395 Center Dr Rm D9-39d, Gainesville, FL 32610-3006 | 2018-08-07 |
| 1790278448 | Marcela Cardona Echeverri | Dentist | 3872 San Simeon Cir, Weston, FL 33331-5056 | 2018-06-07 |
| 1942704499 | Ngoc Trang Caroline Truong | Dentist | 1395 Center Driveroom D1-19, Gainesville, FL 32610-0001 | 2018-03-20 |
| 1851812515 | Martin Sebastian Lalama | Dentist | 2441 Nw 43rd St Ste 16, Gainesville, FL 32606-6676 | 2017-07-03 |
| 1619497021 | Leila Ahmadian Khoshe Mehr | Dentist | 929 Falling Water Rd, Weston, FL 33326-3555 | 2017-06-27 |
| 1548611510 | Rocio Barocio Torano | Dentist | 2425 Brunello Trce, Lutz, FL 33558-7800 | 2016-06-30 |
| Find all providers with the same taxonomy | ||||
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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.