Active NPI
Christopher Chad Smith, DDS
- Dentist
- Manchester, TN
National Provider Identifier
1043437072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8107
- Practice address
- 1240 McArthur St
Manchester, TN 37355-2445 - Phone
- (931) 728-3501
- Fax
- (931) 728-3554
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS8107 | TN | |
| Dentist | 122300000X | 8107 | TN | Primary |
Addresses
Primary practice location
1240 McArthur St
Manchester, TN 37355-2445
Mailing address
1240 McArthur St
Manchester, TN 37355-2445
Phone (931) 728-3501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440263 | Medicaid | TN | |
| 4122760 | Other | BLUE CROSS BLUE SHEILD TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151221002449 | TN | Practitioner - Oral Surgery | 8426359225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS8107 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul E. Honeycutt, DDS | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Manchester, TN
- NPI 1477745602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1043437072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 MCARTHUR ST",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373552445",
"telephone_number": "931-728-3501",
"fax_number": "931-728-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 MCARTHUR ST",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373552445",
"telephone_number": "931-728-3501",
"fax_number": "931-728-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTOPHER",
"middle_name": "CHAD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS8107",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "8107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440263",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD TN",
"identifier": "4122760",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.