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
- 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Huntsville, AL
- NPI 1376405001
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.