Active NPI
Mary Elizabeth Smith, DMD
- Dentist
- Huntsville, AL
National Provider Identifier
1245819622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6931
- Practice address
- 2288 Zierdt Rd
Suite F
Huntsville, AL 35824 - Phone
- (256) 461-9999
- NPI assigned
- Apr 5, 2021
- Last updated
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 6931 | AL | Primary |
Addresses
Primary practice location
2288 Zierdt Rd
Suite F
Huntsville, AL 35824
Mailing address
1501 Glenwood Dr SE
Huntsville, AL 35801-2127
Other practice location 1
1 Childrens Way
Little Rock, AR 72202-3500
Phone (501) 222-1561
Other practice location 2
4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 526-7619
Other names 1
- Mary Elizabeth Massey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6931 | AL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamila Riley DDS LLC | Current | Accepting new patients |
Locations
2288 Zierdt Rd SW
Ste F
Huntsville, AL 35824
Phone (256) 461-9999
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1245819622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 GLENWOOD DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358012127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2288 ZIERDT RD",
"address_2": "SUITE F",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35824",
"telephone_number": "256-461-9999"
}
],
"practiceLocations": [
{
"address_1": "1 Childrens Way",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722023500",
"country_code": "US",
"telephone_number": "501-222-1561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-526-7619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "6931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY ELIZABETH",
"last_name": "MASSEY",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.