NPIMap

Organization Active NPI

Monteagle Family Dentistry, PLLC.

  • Dentist
  • Monteagle, TN
National Provider Identifier
1114234358
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS 8107 Issued in TN
Legal business name
MONTEAGLE FAMILY DENTISTRY, PLLC.
Practice address
16 S Central Ave
# 219
Monteagle, TN 37356-3075
Phone
(931) 924-2219
Fax
(931) 924-2219
NPI assigned
Sep 9, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Dr. Christopher Chad Smith, D.D.S.
Title
General Dentist
Phone
(931) 924-2219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS 8107 TN Primary

Addresses

Primary practice location

16 S Central Ave
# 219
Monteagle, TN 37356-3075

Mailing address

16 S Central Ave
P.O. Box 219
Monteagle, TN 37356-3075
Phone (931) 924-2219

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1114234358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S CENTRAL AVE",
            "address_2": "P.O. BOX 219",
            "city": "MONTEAGLE",
            "state": "TN",
            "postal_code": "373563075",
            "telephone_number": "931-924-2219",
            "fax_number": "931-924-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S CENTRAL AVE",
            "address_2": "# 219",
            "city": "MONTEAGLE",
            "state": "TN",
            "postal_code": "373563075",
            "telephone_number": "931-924-2219",
            "fax_number": "931-924-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEAGLE FAMILY DENTISTRY, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "931-924-2219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS 8107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monteagle, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.