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Dr. Kelsey Kathryn Smith , DDS

Dentist β€’ La Mesa, CA

Active NPI 1295403749 Individual Practitioner Female Practitioner
Practice location in NPPES

4800 Williamsburg Ln Unit 103
La Mesa, CA 919428604

Call 3607899414 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4800 Williamsburg Ln Unit 103

La Mesa, CA 919428604

Telephone 3607899414

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in La Mesa and California

54 active clinicians are listed under Dentist with a practice address in La Mesa, CA (14,738 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in La Mesa

0% of these 54 clinicians have the CMS telehealth indicator.

0% of these 54 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES WA DE61189774

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 10, 2024

Registered at 4800 WILLIAMSBURG LN UNIT 103, LA MESA, CA 919428604 (Tel: 3607899414)

πŸ“
Updated Business Mailing Address April 10, 2024

Registered at 4800 WILLIAMSBURG LN UNIT 103, LA MESA, CA 919428604 (Tel: 3607899414)

βœ…
NPI Profile Active August 31, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 31, 2021

Registered at 3230 BRANCH DENTAL CLINIC, FPO, AA 92136 (Tel: 6195568240)

πŸ“
Business Mailing Address (Initial Record) August 31, 2021

Registered at 1501 ISLAND AVE APT 1807, SAN DIEGO, CA 921018014 (Tel: 3607899414)

πŸ‘€
Provider Name / Credentials (Initial Record) August 31, 2021

Recorded as KELSEY SMITH, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2021

Dentist (license number reported to NPPES: WA DE61189774)

🟒
Initial NPI Registration & Enumeration August 31, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295403749
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2021
Last Update: April 10, 2024
Sole Proprietor: No

Other Dentists in La Mesa

All Dentists in La Mesa

Mailing Address

4800 Williamsburg Ln Unit 103

La Mesa, CA 919428604

Phone: 3607899414

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.