1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Oral Maxillofacial Surgery
  6. NPI Profile

CHARLES DAVID SMITH
NPI 1770112575
Oral & Maxillofacial Surgery in Seattle, WA

Active since April 03, 2020PECOS Enrolled
1959 NE PACIFIC STREET; HSB ROOM B 241, SEATTLE, WA 98195(218) 849-6683 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2020, Apr 3, 2020 (2 updates tracked since 2020).

About Charles David Smith NPPES

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

CHARLES DAVID SMITH (NPI 1770112575) is an individual oral & maxillofacial surgery provider in Seattle, Washington, licensed in Washington (DR61069016) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770112575
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameCHARLES DAVID SMITH
Location Address1959 NE PACIFIC STREET; HSB ROOM B 241Seattle, WA 98195-0001
Mailing AddressPo Box 357134Seattle, WA 98195-7134 · (218) 849-6683
Phone(218) 849-6683
Sole ProprietorNo
Enumeration DateApril 3, 2020
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1770112575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in WA · DR61069016
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1959 NE PACIFIC STREET; HSB ROOM B 241, Seattle, WA 98195
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles David Smith 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.

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 1770112575. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Charles Smith located?

Charles Smith practices at 1959 NE Pacific Street; Hsb Room B 241, Seattle, WA 98195. The listed phone number is (218) 849-6683.

What is Charles Smith's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Charles Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Smith was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.