NPIMap

Organization Active NPI

Rachel M Hardin DDS LLC

Doing business as Smile Design Center

  • Preferred Provider Organization
  • Centralia, MO
National Provider Identifier
1164849246
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2006015344 Issued in MO
Legal business name
RACHEL M HARDIN DDS LLC
Doing business as
Smile Design Center
Practice address
102 N Allen St
Centralia, MO 65240-1394
Phone
(573) 682-2015
Fax
(573) 682-1007
NPI assigned
Mar 26, 2014
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Dr. Rachel Michelle Hardin, DDSNPI 1396774816
Title
General Dentist
Phone
(573) 682-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2006015344 MO Primary

Addresses

Primary practice location

102 N Allen St
Centralia, MO 65240-1394

Mailing address

102 N Allen St
Centralia, MO 65240-1394
Phone (573) 682-2015

Other names 1

  • SMILE DESIGN CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

102 N Allen St
Centralia, MO 65240
Phone (573) 682-2015

Practitioners & affiliated clinicians

Practitioners 2

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": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1164849246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N ALLEN ST",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401394",
            "telephone_number": "573-682-2015",
            "fax_number": "573-682-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N ALLEN ST",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401394",
            "telephone_number": "573-682-2015",
            "fax_number": "573-682-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL M HARDIN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "573-682-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "2006015344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE DESIGN CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.