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DR. RICHARD RUSSELL SMITH III DMD
NPI 1174217129
Student in an Organized Health Care Education/Training Program in Richmond, VA

Active since June 05, 2023PECOS Enrolled
520 N 12TH ST, RICHMOND, VA 23298(804) 828-9190 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2025, Jun 5, 2023 (2 updates tracked since 2023).

About Dr. Richard Russell Smith Iii Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD RUSSELL SMITH III DMD (NPI 1174217129) is an individual student in an organized health care education/training program in Richmond, Virginia and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174217129
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RICHARD RUSSELL SMITH IIICredential: DMD
Location Address520 N 12TH STRichmond, VA 23298-5064
Mailing Address520 N 12th StRichmond, VA 23298-5064 · (804) 828-9190
Phone(804) 828-9190
Sole ProprietorNo
Enumeration DateJune 5, 2023
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1174217129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 0401418548 (VA)
520 N 12TH ST, Richmond, VA 23298
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Russell Smith Iii Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAHRZAD ORENDUFF D.D.S.
Dentist (General Practice)
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
DR. JESSICA GILL DDS
Dentist
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 571-0357
DR. DEAN M DELUKE DDS
Oral & Maxillofacial Surgery
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 628-6637
SAMUEL TACK
Dentist (Oral and Maxillofacial Surgery)
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 628-7146
BRANDON KHOR
Student in an Organized Health Care Education/Training Program
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
ALI REZA MOJARAD DDS
Dentist
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
WILLIAM BANKS LEE DMD
Student in an Organized Health Care Education/Training Program
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
DR. NITYA REDDY DDS
Dentist (Periodontics)
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Smith's NPI number?

The NPI number for Richard Smith is 1174217129. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Richard Smith located?

Richard Smith practices at 520 N 12th St, Richmond, VA 23298. The listed phone number is (804) 828-9190.

What is Richard Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Richard Smith enrolled in Medicare?

Yes. Richard Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Smith was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.