Organization Active NPI

Smiles and Blessings, Inc.

  • Dentist
  • Jackson, TN
National Provider Identifier
1164633228
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7773 Issued in TN
Legal business name
SMILES AND BLESSINGS, INC.
Practice address
332 Lane Ave
JCM High School
Jackson, TN 38301-4577
Phone
(731) 427-3351
Fax
(731) 423-9711
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. John McLemore, DDS
Title
Dentist
Phone
(731) 424-2651

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 7773 TN Primary
Voluntary or Charitable Agency 251V00000X

Addresses

Primary practice location

332 Lane Ave
JCM High School
Jackson, TN 38301-4577

Mailing address

332 Lane Ave
JCM High School
Jackson, TN 38301-4577
Phone (731) 427-3351

Other identifiers 3

IdentifierTypeStateIssuer
186965OtherTNTENNCARE LOCATION
16031OtherTNTENNCARE PROVIDER #
219134OtherTNTENNCARE PAYEE

Other names 1

  • Smiles and Blessings Mobile Former legal business name

National Provider Directory

National Provider Directory

Locations

332 Lane Ave
Jackson, TN 38301
Phone (731) 427-3351

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1164633228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 LANE AVE",
            "address_2": "JCM HIGH SCHOOL",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014577",
            "telephone_number": "731-427-3351",
            "fax_number": "731-423-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 LANE AVE",
            "address_2": "JCM HIGH SCHOOL",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014577",
            "telephone_number": "731-427-3351",
            "fax_number": "731-423-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES AND BLESSINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "731-424-2651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "7773",
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE LOCATION",
            "identifier": "186965",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE PROVIDER #",
            "identifier": "16031",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE PAYEE",
            "identifier": "219134",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles and Blessings Mobile",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.