DR. EVAN KEITH SMITH DMD
NPI 1720376288
Dentist - General Practice in Charlotte, NC

Active since July 19, 2011Opted out of Medicare · through Jul 20, 2027
135 PERRIN PL STE 100, CHARLOTTE, NC 28207(704) 332-1211 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Evan Keith Smith Dmd NPPES

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

DR. EVAN KEITH SMITH DMD (NPI 1720376288) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (10447) and active in the NPI registry since July 2011. He has opted out of Medicare through July 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720376288
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EVAN KEITH SMITHCredential: DMD
Location Address135 PERRIN PL STE 100Charlotte, NC 28207-2356
Mailing Address135 Perrin Pl Ste 100Charlotte, NC 28207-2356 · (704) 332-1211
Sole ProprietorNo
Enumeration DateJuly 19, 2011
Last NPPES UpdateOctober 22, 2018
NPI 1720376288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 10447
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
135 PERRIN PL STE 100, Charlotte, NC 28207

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. Evan Keith Smith Dmd 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 20, 2017 through July 20, 2027.

Opt-Out Effective DateJuly 20, 2017
Opt-Out In Effect ThroughJuly 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
135 PERRIN PL STE 100
CHARLOTTE, NC 28207

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 Evan Smith's NPI number?

The NPI number for Evan Smith is 1720376288. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Evan Smith located?

Evan Smith practices at 135 Perrin Pl Ste 100, Charlotte, NC 28207. The listed phone number is (704) 332-1211.

What is Evan Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Evan Smith enrolled in Medicare?

No. Evan Smith has opted out of Medicare through July 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Evan Smith was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.