DR. CHARLES W SMITH IV D.D.S.
NPI 1174977169
Dentist - Oral and Maxillofacial Surgery in Winchester, VA

Active since April 16, 2016Opted out of Medicare · through Jul 31, 2027
900 S PLEASANT VALLEY RD, WINCHESTER, VA 22601(540) 662-3222 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2018, Jun 16, 2016 (2 updates tracked since 2016).

About Dr. Charles W Smith Iv D.d.s. NPPES

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

DR. CHARLES W SMITH IV D.D.S. (NPI 1174977169) is an individual oral and maxillofacial surgery provider in Winchester, Virginia, licensed in Virginia (0401417236) and active in the NPI registry since April 2016. He has opted out of Medicare through July 31, 2027.

NPPES Registry Identity

NPI1174977169
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CHARLES W SMITH IVCredential: D.D.S.
Location Address900 S PLEASANT VALLEY RDWinchester, VA 22601-5152
Mailing Address900 S Pleasant Valley RdWinchester, VA 22601-5152 · (540) 662-3222
Sole ProprietorYes
Enumeration DateApril 16, 2016
Last NPPES UpdateAugust 30, 20242 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
NPI 1174977169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in VA · 0401417236
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

900 S PLEASANT VALLEY RD, Winchester, VA 22601

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Charles W Smith Iv D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 31, 2025 through July 31, 2027.

Opt-Out Effective DateJuly 31, 2025
Opt-Out In Effect ThroughJuly 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Oral & Maxillofacial Surgery
900 S PLEASANT VALLEY RD
WINCHESTER, VA 22601
Hearing Instrument Specialist
900 S PLEASANT VALLEY RD
WINCHESTER, VA 22601

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 Charles Smith's NPI number?

The NPI number for Charles Smith is 1174977169. It was assigned to this individual provider in the NPPES registry on April 16, 2016.

Where is Charles Smith located?

Charles Smith practices at 900 S Pleasant Valley Rd, Winchester, VA 22601. The listed phone number is (540) 662-3222.

What is Charles Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Charles Smith enrolled in Medicare?

No. Charles Smith has opted out of Medicare through July 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Charles Smith accept?

Health plans from HRI Dental & Vision, Humana, Paramount and Renaissance Dental list Charles Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Smith was last updated on August 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.