J Randall Smith, D.D.S.,M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

179 Issued in TN

Practice address

205 S Jackson St
Tullahoma, TN 37388-4426

Phone

(931) 455-0146

Fax

(931) 393-3863

NPI assigned

Oct 24, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS. Smith & Fewell, D.D.S.,M.S.,PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tullahoma, TN
  • NPI 1427047430
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114917010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884426",
            "telephone_number": "931-455-0146",
            "fax_number": "931-393-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884426",
            "telephone_number": "931-455-0146",
            "fax_number": "931-393-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "J",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara L Sipe, PT,DPT
• Skills Development Services, Inc.
• Lindsay Dawn Skipper
• Jennifer Leigh Slater, NP
• Amy Elizabeth Smith, PHARMD
• Logan Joe Smith, DDS
• Megan Smith, FNP-BC
• Stacey Michelle Smith
• Adam Snider
• Ashlan Charlotte Snyder

• Orthodontics and Dentofacial Orthopedics Dentistry in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.