Douglas J. Smith
Douglas J. Smith is a healthcare organization registered as General Practice Dentistry in Rexburg, ID, holding Type 2 (organization) NPI 1962664458 since 2008. The authorized official on file is Douglas Smith, Owner-Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962664458 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Douglas J. Smith |
| Other name | <Unavail> |
| Practice address | 56 PROFESSIONAL PLZ, Rexburg, ID, 83440 |
| Phone | 2083569262 |
| Fax | 2083564804 |
| Enumeration date | 2008-06-26 |
| Last updated in NPPES | 2008-06-26 |
Authorized official
| Name | Douglas Smith |
|---|---|
| Title | Owner-Dentist |
| Phone | 2083569262 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | D1433 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001193200 | Medicaid | ID | — |
Copy-ready billing details
Provider: Douglas J. Smith NPI: 1962664458 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 56 PROFESSIONAL PLZ, Rexburg, ID, 83440
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1427189984 | Scott Wilkes | Individual | General Practice Dentistry | Rexburg, ID |
| 1316078397 | Douglas Smith | Individual | General Practice Dentistry | Rexburg, ID |
| 1184126039 | Dental Health Center | Organization | Dentist | Rexburg, ID |
Verify this record
Cross-check NPI 1962664458 against the authoritative CMS record: view Douglas J. Smith on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Douglas J. Smith located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-26.