Danielle Boatright Smiddy

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

445 State Road 13 Ste 22
Jacksonville, FL 32259-2821

Phone

(904) 209-6590

NPI assigned

Feb 18, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Coast Dental P.a.

  • Dentist
  • Jacksonville, FL
  • NPI 1508432840
  NPD
• Coast Dental P.a.

  • Dentist
  • Tampa, FL
  • NPI 1992803860
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1083369953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CAROLINA JASMINE LN",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594036",
            "telephone_number": "863-397-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 STATE ROAD 13 STE 22",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322592821",
            "telephone_number": "904-209-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATRIGHT SMIDDY",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bo WLMC LLC
• Grayson Mackenzie Boala
• Adelina Georgina Boata
• Bernard Nana Adjei Boateng, MBA, DO, MS
• Martha Boateng
• Cristal Boatright, PA-C
• Sandra Lynn Boatright, LCSW
• Brian Boatwright, BACHELOR LEVEL
• Stephen F Boatwright, M.S.H.
• Sarah Faith Boaz, M.D.

• Dental Hygienist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.